Provider Demographics
NPI:1356092001
Name:ADVENT HOSPICE LLC
Entity Type:Organization
Organization Name:ADVENT HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:VEQUILLA
Authorized Official - Last Name:DINGLASAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-284-8730
Mailing Address - Street 1:4025 E CHANDLER BLVD STE 52B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-8832
Mailing Address - Country:US
Mailing Address - Phone:602-284-8730
Mailing Address - Fax:480-550-8558
Practice Address - Street 1:4025 E CHANDLER BLVD STE 52B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-8832
Practice Address - Country:US
Practice Address - Phone:602-284-8730
Practice Address - Fax:480-550-8558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based