Healthcare Provider Details

I. General information

NPI: 1477009371
Provider Name (Legal Business Name): BEST HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 10/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 BEVERLY # B
KINGMAN AZ
86401-3564
US

IV. Provider business mailing address

PO BOX 47090
PHOENIX AZ
85068-7090
US

V. Phone/Fax

Practice location:
  • Phone: 928-580-0071
  • Fax: 928-447-2225
Mailing address:
  • Phone: 602-550-4065
  • Fax: 623-934-5603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SATWANT BHOWRA
Title or Position: CFO
Credential:
Phone: 602-550-4065