Provider Demographics
NPI:1063852309
Name:DESERT HARMONY HOSPICE OF TUCSON
Entity Type:Organization
Organization Name:DESERT HARMONY HOSPICE OF TUCSON
Other - Org Name:HARMONY HOSPICE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-284-9334
Mailing Address - Street 1:310 S WILLIAMS BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4483
Mailing Address - Country:US
Mailing Address - Phone:520-284-9334
Mailing Address - Fax:520-284-7966
Practice Address - Street 1:310 S WILLIAMS BLVD STE 210
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4483
Practice Address - Country:US
Practice Address - Phone:520-284-9334
Practice Address - Fax:520-284-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC5714251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ03-1642Medicare PIN