Provider Demographics
NPI:1770232068
Name:LIFETIME HOSPICE CARE INC
Entity type:Organization
Organization Name:LIFETIME HOSPICE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-851-8600
Mailing Address - Street 1:2025 NORTH 3RD STREET
Mailing Address - Street 2:SUITE 165
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-0014
Mailing Address - Country:US
Mailing Address - Phone:619-851-8600
Mailing Address - Fax:480-426-9455
Practice Address - Street 1:2025 NORTH 3RD STREET
Practice Address - Street 2:SUITE 165
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-0014
Practice Address - Country:US
Practice Address - Phone:480-376-0433
Practice Address - Fax:480-426-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based