STATE 48 HOSPICE OF SIERRA VISTA LLC
NPI 1639984685
Hospice Care, Community Based in Sierra Vista, AZ
About State 48 Hospice Of Sierra Vista Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE 48 HOSPICE OF SIERRA VISTA LLC (NPI 1639984685) is a healthcare organization registered as a hospice care, community based in Sierra Vista, Arizona and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Mohammed Ahmed, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 03D2327066
State 48 Hospice Of Sierra Vista LLC · Sierra Vista, AZFrequently 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 State 48 Hospice Of Sierra Vista LLC's NPI number?
The NPI number for State 48 Hospice Of Sierra Vista LLC is 1639984685. It was assigned to this organization in the NPPES registry on February 7, 2025.
Where is State 48 Hospice Of Sierra Vista LLC located?
State 48 Hospice Of Sierra Vista LLC is located at 400 W Fry Blvd Ste 12, Sierra Vista, AZ 85635. The listed phone number is (520) 685-3071.
What is State 48 Hospice Of Sierra Vista LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does State 48 Hospice Of Sierra Vista LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2327066) is associated with this NPI, valid through July 14, 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 State 48 Hospice Of Sierra Vista LLC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# State 48 Hospice Of Sierra Vista Llc · NPI 1639984685
Hospice Care, Community Based organization in Sierra Vista, Arizona. Organization record, active in the CMS NPPES registry since February 7, 2025.
## Identity
- **NPI:** 1639984685 (Entity type: Organization)
- **Enumerated:** February 7, 2025
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Mohammed Ahmed, MANAGER
## Practice location
- **Address:** 400 W FRY BLVD STE 12, Sierra Vista, AZ 85635-1760
- **Phone:** (520) 685-3071
## Record status
- **NPPES last updated:** February 7, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639984685) · Data from the CMS NPPES public registry.