LAVENDER PALLIATIVE CARE
NPI 1104622950
In Home Supportive Care in Phoenix, AZ

Active since February 21, 2025
2025 N 3RD ST STE 180, PHOENIX, AZ 85004(602) 283-3663(602) 283-3682 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2025, Feb 21, 2025 (2 updates tracked since 2025).

  • Organization
  • In Home Supportive Care

About LAVENDER PALLIATIVE CARE

This page provides the complete NPI Profile along with additional information for Lavender Palliative Care, a provider established in Phoenix, Arizona operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1104622950 assigned on February 2025. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Roselavender Agatha Richards Md (Ceo)

NPI
1104622950 Verify this NPI
Provider Name
LAVENDER PALLIATIVE CARE
Entity Type
Organization
Location Address
2025 N 3RD ST STE 180 PHOENIX, AZ 85004
Location Phone
(602) 283-3663
Location Fax
(602) 283-3682
Mailing Address
2025 N 3RD ST STE 180 PHOENIX, AZ 85004
Mailing Phone
(602) 283-3663
Mailing Fax
(602) 283-3682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2025
Last Update Date
03-04-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSELAVENDER AGATHA RICHARDS MD

Authorized Official Title
CEO
Authorized Official Phone
(602) 283-3663

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104622950, enumerated as an "organization" on February 21, 2025.

The provider is located at 2025 N 3RD ST STE 180 PHOENIX, AZ 85004 and the phone number is (602) 283-3663.

In Home Supportive Care with taxonomy code 253Z00000X.