HOSPICE OF ARIZONA, LC
NPI 1992714778
Hospice Care, Community Based in Phoenix, AZ
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- CLIA Number: 03D2008687
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 06-15-2026
About HOSPICE OF ARIZONA, LC
This page provides the complete NPI Profile along with additional information for Hospice Of Arizona, Lc, a provider established in Phoenix, Arizona operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1992714778 assigned on August 2006. The practitioner's primary taxonomy code is 251G00000X with license number HSPC0050 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Rich Fogle (Cfo)
- NPI
- 1992714778 Verify this NPI
- Provider Name
- HOSPICE OF ARIZONA, LC
- Entity Type
- Organization
- Location Address
- 19820 N 7TH AVE SUITE 130 PHOENIX, AZ 85027
- Location Phone
- (602) 678-1313
- Location Fax
- (602) 242-2178
- Mailing Address
- 50 N LAURA ST SUITE 1800 JACKSONVILLE, FL 32202
- Mailing Phone
- (904) 493-6745
- Mailing Fax
- (904) 262-4804
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2006
- Last Update Date
- 09-13-2012
- Code Navigator
Location Map
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
- License No.
- HSPC0050
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 193475 | MEDICAID (05) | AZ | |
| 031525 | MEDICARE ID-TYPE UNSPECIFIED (04) | AZ | AZ MEDICARE |
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
- 03D2008687
- Facility Type
- Hospice
- Certificate Effective Date
- June 16, 2024
- Certificate Expiration Date
- June 15, 2026
- Laboratory Director
- JENNIFER ORTIZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hospice Of Arizona, Lc 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.
Reviews for HOSPICE OF ARIZONA, LC
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
PHOENIX, AZ 85027
PHOENIX, AZ 85027
PHOENIX, AZ 85027
PHOENIX, AZ 85027
PHOENIX, AZ 85027
PHOENIX, AZ 85027
PHOENIX, AZ 85027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992714778, enumerated as an "organization" on August 07, 2006.
The provider is located at 19820 N 7TH AVE SUITE 130 PHOENIX, AZ 85027 and the phone number is (602) 678-1313.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to verify.
