RIVER HOSPICE LLC
NPI 1275295057
Hospice Care, Community Based in Mesa, AZ

Active since October 09, 2021CLIA 03D2292074 · Waiver
2220 S COUNTRY CLUB DR STE 109, MESA, AZ 85210(623) 328-9399 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Oct 9, 2021 (2 updates tracked since 2021).

About River Hospice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER HOSPICE LLC (NPI 1275295057), doing business as River Hospice And Palliative Care, is a healthcare organization registered as a hospice care, community based in Mesa, Arizona and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Robert C Baysan, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1275295057
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameRIVER HOSPICE LLC
Location Address2220 S COUNTRY CLUB DR STE 109Mesa, AZ 85210-6808
Mailing Address1930 S Alma School Rd Ste B201-bMesa, AZ 85210-3064 · (623) 328-9399
Organization SubpartNo
Authorized OfficialRobert C BaysanMember/manager · (623) 328-9399
Enumeration DateOctober 9, 2021
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1275295057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
Also ListedHospice, InpatientTaxonomy 315D00000X
2220 S COUNTRY CLUB DR STE 109, Mesa, AZ 85210

Other Names 1

Doing Business AsRiver Hospice And Palliative Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2292074

River Hospice LLC · Mesa, AZ
Active · expires Oct 18, 2027
CLIA Number03D2292074
Laboratory TypeHospice
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorFleur F. Magbanua
Laboratory Phone(480) 426-8900
Laboratory LocationRiver Hospice LLC2220 S Country Club Dr, Ste 109, Mesa, AZ 85210
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Hospice LLC's NPI number?

The NPI number for River Hospice LLC is 1275295057. It was assigned to this organization in the NPPES registry on October 9, 2021. The provider is doing business as River Hospice and Palliative Care.

Where is River Hospice LLC located?

River Hospice LLC is located at 2220 S Country Club Dr Ste 109, Mesa, AZ 85210. The listed phone number is (623) 328-9399.

What is River Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does River Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2292074) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Hospice LLC was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.