Provider Demographics
NPI:1053047811
Name:LIFESPAN HOSPICE CARE LLC
Entity Type:Organization
Organization Name:LIFESPAN HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:LEONAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVSEPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:480-999-6006
Mailing Address - Street 1:7678 E GREENWAY RD STE 101C
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1784
Mailing Address - Country:US
Mailing Address - Phone:480-999-6006
Mailing Address - Fax:888-907-7674
Practice Address - Street 1:7678 E GREENWAY RD STE 101C
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1784
Practice Address - Country:US
Practice Address - Phone:480-999-6006
Practice Address - Fax:888-907-7674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based