Provider Demographics
NPI:1649335035
Name:SEASONS HOSPICE & PALLIATIVE CARE OF ARIZONA, INC
Entity type:Organization
Organization Name:SEASONS HOSPICE & PALLIATIVE CARE OF ARIZONA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BILL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:847-759-9449
Mailing Address - Street 1:606 POTTER RD
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5337
Mailing Address - Country:US
Mailing Address - Phone:847-759-9449
Mailing Address - Fax:
Practice Address - Street 1:7776 SOUTH POINTE PARWKWAY WEST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5424
Practice Address - Country:US
Practice Address - Phone:866-278-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ031570Medicare ID - Type UnspecifiedHOSPICE