Provider Demographics
NPI:1144813189
Name:HOSPICE CARE OF ARIZONA LLC.
Entity type:Organization
Organization Name:HOSPICE CARE OF ARIZONA LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RELAMPAGOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:480-878-8918
Mailing Address - Street 1:1930 S ALMA SCHOOL RD STE C104
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3067
Mailing Address - Country:US
Mailing Address - Phone:480-878-8918
Mailing Address - Fax:480-590-0653
Practice Address - Street 1:1930 S ALMA SCHOOL RD STE C104
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3067
Practice Address - Country:US
Practice Address - Phone:480-878-8918
Practice Address - Fax:480-590-0653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based