Provider Demographics
NPI:1497992671
Name:SACRED HEART FOUNDATION, INC
Entity Type:Organization
Organization Name:SACRED HEART FOUNDATION, INC
Other - Org Name:SACRED FAMILY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNKS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA-TM
Authorized Official - Phone:602-476-2047
Mailing Address - Street 1:15255 N 40TH ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4624
Mailing Address - Country:US
Mailing Address - Phone:602-476-2047
Mailing Address - Fax:602-253-0535
Practice Address - Street 1:15255 N 40TH ST
Practice Address - Street 2:SUITE 125
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4624
Practice Address - Country:US
Practice Address - Phone:602-476-2047
Practice Address - Fax:602-253-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based