FOUR STAR HOSPICE CARE
NPI 1285266817
Hospice Care, Community Based in Mesa, AZ

NPI Status: Active since February 11, 2020

Contact Information

2222 S DOBSON RD STE 103A
MESA, AZ
ZIP 85202
Phone: (480) 597-5576

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 03D2189698
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 08-03-2026

About FOUR STAR HOSPICE CARE

This page provides the complete NPI Profile along with additional information for Four Star Hospice Care, a provider established in Mesa, Arizona operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1285266817 assigned on February 2020. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Four Star Hospice Care. The authorized official of this NPI record is Liz Cordero Exec. Director (Exec. Director)

NPI
1285266817
Provider Legal Name
FOUR STAR HOME HEALTH AND HOSPICE CARE, INC.
Other Organization Name
FOUR STAR HOSPICE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2222 S DOBSON RD STE 103A MESA, AZ 85202
Location Phone
(480) 597-5576
Mailing Address
PO BOX 2317 GILBERT, AZ 85299
Mailing Phone
(480) 597-5576
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2020
Last Update Date
08-21-2021
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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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

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

LIZ CORDERO EXEC. DIRECTOR

Authorized Official Title
EXEC. DIRECTOR
Authorized Official Phone
(480) 597-5576

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2189698
Facility Type
Hospice
Certificate Effective Date
August 04, 2024
Certificate Expiration Date
August 03, 2026
Laboratory Director
RICHARD K. LE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Four Star Hospice Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285266817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165461282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 6 + 1 + 2 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1285266817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285266817, enumerated as an "organization" on February 11, 2020.

The provider is located at 2222 S DOBSON RD STE 103A MESA, AZ 85202 and the phone number is (480) 597-5576.

Hospice Care, Community Based with taxonomy code 251G00000X.