TRADITIONS HOSPICE OF ARIZONA I, LLC (NPI# 1619368602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619368602 |
| Entity Type | Organization |
| Organization Name | TRADITIONS HOSPICE OF ARIZONA I, LLC |
| Other Organization Name | TRADITIONS HEALTH |
| Practice Address |
105 North Pasadena Street Gilbert AZ 85233 |
| Mailing Address |
P.o. Box 9980 College Station TX 77842 |
| Practice Telephone | 4802682695 |
| Practice Fax Number | 4802682696 |
| Mailing Telephone | 4802682695 |
| Mailing Fax Number | 4802682696 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | MR. GARY BRYAN WOLFE (CEO) |
| Authorized Official Telephone | 9797046547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSPC7001 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZDHS LICENCE | HSPC7001 | 01 |
| AZ | 134201 | 05 |
| Other Name | Type Code |
|---|---|
| Traditions Health | Doing Business As Name - Organization |
| Street Address |
105 NORTH PASADENA STREET |
| City | GILBERT |
| State | AZ |
| Zip Code | 85233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
| 1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
| 1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
| 1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
| Find all providers in zip 85233 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679101646 | Always Present Hospice LLC | Hospice Care, Community Based | 1400 N Gilbert Rd Ste P, Gilbert, AZ 85234-2482 | 2020-03-27 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1801245048 | Advisacare Hospice LLC | Hospice Care, Community Based | 1757 E Baseline Rd Ste 106, Gilbert, AZ 85233-1533 | 2016-06-08 |
| 1912329533 | Amha Hospice LLC | Hospice Care, Community Based | 3530 S Val Vista Dr Ste B210, Gilbert, AZ 85297 | 2014-01-16 |
| 1801133483 | Grand Canyon State Health Care LLC | Hospice Care, Community Based | 1067 S Portland Ave, Gilbert, AZ 85296-8924 | 2013-01-15 |
| 1366460289 | Hospice of The Valley | Hospice Care, Community Based | 2020 E Woodside Ct, Gilbert, AZ 85297-7339 | 2006-07-18 |
| 1073550547 | Banner Home Care Arizona | Hospice Care, Community Based | 275 E Germann Rd Ste 110n, Gilbert, AZ 85297-2916 | 2006-06-01 |
| 1518943919 | Hospice Family Care, Inc. | Hospice Care, Community Based | 201 W Guadalupe Rd Ste 308, Gilbert, AZ 85233-3334 | 2005-12-16 |
| 1043834021 | American Care Concepts Gip LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2020-06-04 |
| 1023662665 | Prism Hospice, LLC | Hospice Care, Community Based | 4280 E Sierra Madre Ave, Gilbert, AZ 85296 | 2019-08-01 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.