Provider Demographics
NPI:1700219144
Name:OSHYN HOSPICE & PALLIATIVE CARE, LLC
Entity Type:Organization
Organization Name:OSHYN HOSPICE & PALLIATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-795-3535
Mailing Address - Street 1:1870 W PRINCE RD STE 37
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-2969
Mailing Address - Country:US
Mailing Address - Phone:520-795-3535
Mailing Address - Fax:520-336-9043
Practice Address - Street 1:1870 W PRINCE RD STE 37
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-2969
Practice Address - Country:US
Practice Address - Phone:520-795-3535
Practice Address - Fax:520-336-9043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-20
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based