Provider Demographics
NPI:1891291191
Name:STOKES HOSPICE LLC
Entity Type:Organization
Organization Name:STOKES HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:480-216-3980
Mailing Address - Street 1:3150 N ARIZONA AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7171
Mailing Address - Country:US
Mailing Address - Phone:480-625-3303
Mailing Address - Fax:480-625-3513
Practice Address - Street 1:3150 N ARIZONA AVE STE 117
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7171
Practice Address - Country:US
Practice Address - Phone:480-625-3303
Practice Address - Fax:480-625-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Multi-Specialty
No163WP0200XNursing Service ProvidersRegistered NursePediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ=========OtherHOSPICE SKILLED SERVICES