Healthcare Provider Details

I. General information

NPI: 1699709857
Provider Name (Legal Business Name): NEW HOPE HOSPICE OF ARIZONA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 MCCULLOCH BLVD N STE 204
LAKE HAVASU CITY AZ
86403-6977
US

IV. Provider business mailing address

2191 LEMAY FERRY RD STE 300
SAINT LOUIS MO
63125-2483
US

V. Phone/Fax

Practice location:
  • Phone: 928-854-4200
  • Fax: 928-854-4201
Mailing address:
  • Phone: 314-815-3500
  • Fax: 314-815-3207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHSPC4800
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEFF HAMRICK
Title or Position: CFO
Credential:
Phone: 314-815-3500