Provider Demographics
NPI:1699176222
Name:CHARTER HEALTHCARE OF PHOENIX, LLC
Entity Type:Organization
Organization Name:CHARTER HEALTHCARE OF PHOENIX, LLC
Other - Org Name:VERACARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ALAINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-330-8930
Mailing Address - Street 1:8701 E HARTFORD DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6560
Mailing Address - Country:US
Mailing Address - Phone:480-750-4008
Mailing Address - Fax:480-498-5245
Practice Address - Street 1:8701 E HARTFORD DR STE 115
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6560
Practice Address - Country:US
Practice Address - Phone:480-750-4008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based