Healthcare Provider Details

I. General information

NPI: 1427038314
Provider Name (Legal Business Name): HOSPICE INSPIRIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 09/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 NORTH 3RD ST SUITE # 205
PHOENIX AZ
85004-1471
US

IV. Provider business mailing address

10 CADILLAC DRIVE SUITE # 350
BRENTWOOD TN
37027-5095
US

V. Phone/Fax

Practice location:
  • Phone: 602-462-1132
  • Fax: 602-462-1186
Mailing address:
  • Phone: 615-986-9226
  • Fax: 615-986-9256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License NumberHSPC3420
License Number StateAZ

VIII. Authorized Official

Name: MR. KIRK STANLEY
Title or Position: CHEIF FINANCIAL OFFICER
Credential:
Phone: 615-986-9226