PRIMAVERA HOSPICE LLC; NPI #1689322307

Contact Information

PRIMAVERA HOSPICE LLC

8751 N. 51ST AVENUE STE 121-E
GLENDALE, AZ 85302

Phone: 480-343-8045
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for PRIMAVERA HOSPICE LLC

NPI Number	`1689322307`
LBN Legal business name	PRIMAVERA HOSPICE LLC
Authorized official	TERESITA ISIDERIO - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/11/2022
Last updated	03/11/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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