Healthcare Provider Details

I. General information

NPI: 1144151465
Provider Name (Legal Business Name): DESERT VALLEY HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20045 N 19TH AVE STE 162A
PHOENIX AZ
85027-4254
US

IV. Provider business mailing address

20045 N 19TH AVE BUILDING 9 STE 162A
PHOENIX AZ
85027-4254
US

V. Phone/Fax

Practice location:
  • Phone: 602-296-4584
  • Fax: 602-296-5869
Mailing address:
  • Phone: 602-296-4584
  • Fax: 602-296-5869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK S SCIARA
Title or Position: OWNER
Credential:
Phone: 623-505-6565