Provider Demographics
NPI:1982471090
Name:MD HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:MD HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:FURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-266-9971
Mailing Address - Street 1:7500 N DREAMY DRAW DR STE 211B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4669
Mailing Address - Country:US
Mailing Address - Phone:602-266-9971
Mailing Address - Fax:602-266-9968
Practice Address - Street 1:7500 N DREAMY DRAW DR STE 211B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4669
Practice Address - Country:US
Practice Address - Phone:602-266-9971
Practice Address - Fax:602-266-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based