Provider Demographics
NPI:1750184487
Name:AVAILLITY HOSPICE
Entity type:Organization
Organization Name:AVAILLITY HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOGOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-213-7845
Mailing Address - Street 1:1555 E UNIVERSITY DRIVE, STE 4
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203
Mailing Address - Country:US
Mailing Address - Phone:480-213-7845
Mailing Address - Fax:
Practice Address - Street 1:1555 E UNIVERSITY DRIVE, STE 4
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203
Practice Address - Country:US
Practice Address - Phone:480-213-7845
Practice Address - Fax:855-844-5680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based