Provider Demographics
NPI:1164611323
Name:VALOR HOSPICECARE LLC
Entity Type:Organization
Organization Name:VALOR HOSPICECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-615-3996
Mailing Address - Street 1:1860 E RIVER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5993
Mailing Address - Country:US
Mailing Address - Phone:520-615-3996
Mailing Address - Fax:520-615-3998
Practice Address - Street 1:1048 E FRY BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-1839
Practice Address - Country:US
Practice Address - Phone:520-458-9450
Practice Address - Fax:520-458-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC3739251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ965022Medicaid
031586Medicare Oscar/Certification
AZ965022Medicaid