Provider Demographics
NPI:1184059875
Name:HOSPICE TRADITIONS LLC
Entity type:Organization
Organization Name:HOSPICE TRADITIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:HORNING
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:623-792-0070
Mailing Address - Street 1:11811 N TATUM BLVD
Mailing Address - Street 2:SUITE 3031-40
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-1614
Mailing Address - Country:US
Mailing Address - Phone:623-792-0070
Mailing Address - Fax:
Practice Address - Street 1:11811 N TATUM BLVD
Practice Address - Street 2:SUITE 3031-40
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-1614
Practice Address - Country:US
Practice Address - Phone:623-792-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based