Provider Demographics
NPI:1376008342
Name:DESERT VALLEY HOSPICE LLC
Entity Type:Organization
Organization Name:DESERT VALLEY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-999-0960
Mailing Address - Street 1:20045 N 19TH AVE STE 162
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4254
Mailing Address - Country:US
Mailing Address - Phone:602-269-4584
Mailing Address - Fax:602-296-5869
Practice Address - Street 1:20045 N 19TH AVE STE 162
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4254
Practice Address - Country:US
Practice Address - Phone:602-269-4584
Practice Address - Fax:602-296-5869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based