Provider Demographics
NPI:1790360964
Name:EMPRESS CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:EMPRESS CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-609-2711
Mailing Address - Street 1:2920 E NORTHERN AVE STE 100-9
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-4818
Mailing Address - Country:US
Mailing Address - Phone:602-609-2711
Mailing Address - Fax:602-609-2712
Practice Address - Street 1:2920 E NORTHERN AVE STE 100-9
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-4818
Practice Address - Country:US
Practice Address - Phone:602-609-2711
Practice Address - Fax:602-609-2712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based