Healthcare Provider Details

I. General information

NPI: 1891291191
Provider Name (Legal Business Name): STOKES HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N ARIZONA AVE STE 117
CHANDLER AZ
85225-7171
US

IV. Provider business mailing address

3150 N ARIZONA AVE STE 117
CHANDLER AZ
85225-7171
US

V. Phone/Fax

Practice location:
  • Phone: 480-625-3303
  • Fax: 480-625-3513
Mailing address:
  • Phone: 480-625-3303
  • Fax: 480-625-3513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: REBECCA L STOKES
Title or Position: DON/OWNER
Credential: REGISTERED NURSE
Phone: 480-216-3980