Provider Demographics
NPI:1952983967
Name:HOSPICE AND PALLIATIVE CARE OF ARIZONA, LLC
Entity Type:Organization
Organization Name:HOSPICE AND PALLIATIVE CARE OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:669-300-9619
Mailing Address - Street 1:1089 S AMBER ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-1415
Mailing Address - Country:US
Mailing Address - Phone:669-300-9619
Mailing Address - Fax:
Practice Address - Street 1:1855 E SOUTHERN AVE STE 209
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5242
Practice Address - Country:US
Practice Address - Phone:480-999-0188
Practice Address - Fax:480-452-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based