MEDICARE: HOSPICE OF THE VALLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1548011570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF THE VALLEY

Provider Business Mailing Address
First Line	:	1510 E FLOWER ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5656
Country	:	US
Telephone Number	:	602-530-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	575 E RIVER RD STE 126
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-5822
Country	:	US
Telephone Number	:	520-827-5000
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DEBORAH SHUMWAY
Credential	:
Telephone Number	:	602-530-6946

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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Directions to “HOSPICE OF THE VALLEY ” Practice Location

Language	Start Address	Practice Location

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