Provider Demographics
NPI:1700154531
Name:LND MEDICAL AND LIFECARE, LLC
Entity Type:Organization
Organization Name:LND MEDICAL AND LIFECARE, LLC
Other - Org Name:FAMILY COMFORT HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-229-0912
Mailing Address - Street 1:7975 N. HAYDEN RD
Mailing Address - Street 2:SUITE A-200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3234
Mailing Address - Country:US
Mailing Address - Phone:480-745-3015
Mailing Address - Fax:480-745-3019
Practice Address - Street 1:7975 N. HAYDEN RD
Practice Address - Street 2:SUITE A-200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3234
Practice Address - Country:US
Practice Address - Phone:480-745-3015
Practice Address - Fax:480-745-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X
AZ251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
03-1606Medicare UPIN