Provider Demographics
NPI:1518550714
Name:D'AMORE HOSPICE LLC
Entity Type:Organization
Organization Name:D'AMORE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA FE LETICIA
Authorized Official - Middle Name:JOAQUIN
Authorized Official - Last Name:JUSTICE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-312-6271
Mailing Address - Street 1:10000 N 31ST AVE STE C300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-9000
Mailing Address - Country:US
Mailing Address - Phone:602-612-4111
Mailing Address - Fax:602-612-4472
Practice Address - Street 1:10000 N 31ST AVE STE C300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-9000
Practice Address - Country:US
Practice Address - Phone:602-612-4111
Practice Address - Fax:602-612-4472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based