PRIME CARE HOSPICE, LLC; NPI #1770769978

Contact Information

PRIME CARE HOSPICE, LLC

4225 W GLENDALE AVE STE A200
PHOENIX, AZ 85051

Phone: 623-847-2323
Fax: 602-934-5603
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 PRIME CARE HOSPICE, LLC

NPI Number 1770769978

LBN Legal business name PRIME CARE HOSPICE, LLC

Authorized official SATWANT BHOWRA - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2008

Last updated 11/18/2019 - About 7 years ago

Identifiers

AZ	License #	HSPC4331
AZ	Medicaid	433523

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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