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BLUE MOON HOSPICE CARE INC
NPI 1649910183
Hospice Care, Community Based in Phoenix, AZ

Active since March 31, 2022
13041 N 35TH AVE STE C11-12, PHOENIX, AZ 85029(928) 766-0902(928) 766-4123 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Moon Hospice Care Inc NPPES

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

BLUE MOON HOSPICE CARE INC (NPI 1649910183) is a healthcare organization registered as a hospice care, community based in Phoenix, Arizona and active in the NPI registry since March 2022. The organization lists Diana Shyshakova, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649910183
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameBLUE MOON HOSPICE CARE INC
Location Address13041 N 35TH AVE STE C11-12Phoenix, AZ 85029-1230
Mailing Address13041 N 35th Ave Ste C11-12Phoenix, AZ 85029-1230 · (928) 766-0902
Phone(928) 766-0902
Fax(928) 766-4123
Organization SubpartNo
Authorized OfficialDiana ShyshakovaCeo · (928) 766-0902
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1649910183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
13041 N 35TH AVE STE C11-12, Phoenix, AZ 85029
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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 Blue Moon Hospice Care Inc's NPI number?

The NPI number for Blue Moon Hospice Care Inc is 1649910183. It was assigned to this organization in the NPPES registry on March 31, 2022.

Where is Blue Moon Hospice Care Inc located?

Blue Moon Hospice Care Inc is located at 13041 N 35th Ave Ste C11-12, Phoenix, AZ 85029. The listed phone number is (928) 766-0902.

What is Blue Moon Hospice Care Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Moon Hospice Care Inc was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.