1104429919 NPI number — APRICUS HOSPICE AND PALLIATIVE CARE LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104429919 NPI number — APRICUS HOSPICE AND PALLIATIVE CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APRICUS HOSPICE AND PALLIATIVE CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LEGACY HOSPICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104429919
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13207 E STATE ROUTE 169 STE B-2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DEWEY
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86327-0017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-460-5223
Provider Business Mailing Address Fax Number:
928-460-5485

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13207 E STATE ROUTE 169 STE B-2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEWEY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86327-0017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-460-5223
Provider Business Practice Location Address Fax Number:
928-460-5485
Provider Enumeration Date:
11/17/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALVAREZ HANSON
Authorized Official First Name:
EMILY
Authorized Official Middle Name:
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
928-460-5223

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)