MEDICARE: VALOR HOSPICECARE LLC

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	HSPC 3739	AZ

General Provider Information

NPI Number	:	1578569430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALOR HOSPICECARE LLC

Provider Business Mailing Address
First Line	:	2990 N CAMPBELL AVE STE 230
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2995
Country	:	US
Telephone Number	:	520-545-0932
Fax Number	:	620-615-3998

Provider Business Practice Location Address
First Line	:	1760 E RIVER RD STE 150
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5877
Country	:	US
Telephone Number	:	520-615-3996
Fax Number	:	520-615-3998

Authorized Official
Title or Position	:	QCE DIRECTOR
Name	:	BARBARA JEAN NILES
Credential	:	RN
Telephone Number	:	520-545-0932

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	12/16/2021

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