Healthcare Provider Details

I. General information

NPI: 1518807437
Provider Name (Legal Business Name): 2MD HOSPICE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E MEADOWBROOK AVE
PHOENIX AZ
85016-4921
US

IV. Provider business mailing address

2401 E MEADOWBROOK AVE
PHOENIX AZ
85016-4921
US

V. Phone/Fax

Practice location:
  • Phone: 602-677-2968
  • Fax:
Mailing address:
  • Phone: 602-677-2968
  • Fax:

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: CYTHEL M GOMA
Title or Position: OWNER
Credential:
Phone: 602-677-2968