STATE 48 HOSPICE OF PHOENIX LLC
NPI 1740099860
Hospice Care, Community Based in Scottsdale, AZ

Q: What is State 48 Hospice Of Phoenix LLC's NPI number?

The NPI number for State 48 Hospice Of Phoenix LLC is 1740099860. It was assigned to this organization in the NPPES registry on January 3, 2025.

Q: What is State 48 Hospice Of Phoenix LLC's specialty?

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

Active since January 03, 2025CLIA 03D2330815 · Waiver

3200 N HAYDEN RD STE 105B, SCOTTSDALE, AZ 85251(480) 306-7078(480) 306-6611 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 14, 2025, Jan 3, 2025 (2 updates tracked since 2025).

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About State 48 Hospice Of Phoenix Llc NPPES

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

STATE 48 HOSPICE OF PHOENIX LLC (NPI 1740099860) is a healthcare organization registered as a hospice care, community based in Scottsdale, Arizona and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Glen Cohen, Vp, as its authorized official.

NPPES Registry Identity

NPI1740099860

Entity TypeOrganization

Primary Taxonomy251G00000X

Legal Business NameSTATE 48 HOSPICE OF PHOENIX LLC

Location Address3200 N HAYDEN RD STE 105BScottsdale, AZ 85251-6766

Mailing Address3200 N Hayden Rd Ste 105Scottsdale, AZ 85251-6766 · (702) 445-1354

Phone(480) 306-7078

Fax(480) 306-6611

Organization SubpartNo

Authorized OfficialGlen CohenVp · (480) 306-7078

Enumeration DateJanuary 3, 2025

Last NPPES UpdateFebruary 14, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1740099860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies

Taxonomy Code251G00000X

3200 N HAYDEN RD STE 105B, Scottsdale, AZ 85251

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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 03D2330815

State 48 Hospice Of Phoenix LLC · Scottsdale, AZ

Active · expires Sep 22, 2027

CLIA Number03D2330815

Laboratory TypeHospice

Certificate Effective DateSeptember 23, 2025

Certificate Expiration DateSeptember 22, 2027

Laboratory DirectorRachel S. Bruckman

Laboratory Phone(480) 306-7078

Laboratory LocationState 48 Hospice Of Phoenix LLC3200 N Hayden Rd Ste 105B, Scottsdale, AZ 85251

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE 48 HOME HEALTH OF PHOENIX LLC

Home Health

3200 N HAYDEN RD STE 105B
SCOTTSDALE, AZ 85251

Maricopa County (480) 306-7078

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 State 48 Hospice Of Phoenix LLC's NPI number?

The NPI number for State 48 Hospice Of Phoenix LLC is 1740099860. It was assigned to this organization in the NPPES registry on January 3, 2025.

Where is State 48 Hospice Of Phoenix LLC located?

State 48 Hospice Of Phoenix LLC is located at 3200 N Hayden Rd Ste 105B, Scottsdale, AZ 85251. The listed phone number is (480) 306-7078.

What is State 48 Hospice Of Phoenix LLC's specialty?

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

Does State 48 Hospice Of Phoenix LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2330815) is associated with this NPI, valid through September 22, 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 Phoenix LLC was last updated on February 14, 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.