Provider Demographics
NPI:1073854428
Name:MAGGIES HOSPICE, LLC
Entity Type:Organization
Organization Name:MAGGIES HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-889-4400
Mailing Address - Street 1:1725 E OSBORN RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7123
Mailing Address - Country:US
Mailing Address - Phone:602-889-4400
Mailing Address - Fax:602-216-6112
Practice Address - Street 1:801 MILLER VALLEY RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1815
Practice Address - Country:US
Practice Address - Phone:928-775-2290
Practice Address - Fax:928-775-2123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ031625Medicare Oscar/Certification