Provider Demographics
NPI:1255052585
Name:HOSPICE IN THE DESERT LLC
Entity type:Organization
Organization Name:HOSPICE IN THE DESERT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN AGNP
Authorized Official - Phone:520-465-6092
Mailing Address - Street 1:7400 N ORACLE RD STE 150-448
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6331
Mailing Address - Country:US
Mailing Address - Phone:520-465-6092
Mailing Address - Fax:
Practice Address - Street 1:639 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-7433
Practice Address - Country:US
Practice Address - Phone:520-248-8129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based