Provider Demographics
NPI:1972974954
Name:NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC
Entity Type:Organization
Organization Name:NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NELIDA
Authorized Official - Middle Name:FANTILAGA
Authorized Official - Last Name:HERVIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-234-8036
Mailing Address - Street 1:18001 N 79TH AVE STE A6
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8389
Mailing Address - Country:US
Mailing Address - Phone:623-234-8918
Mailing Address - Fax:
Practice Address - Street 1:18001 N 79TH AVE STE A6
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8389
Practice Address - Country:US
Practice Address - Phone:623-234-8918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based