Healthcare Provider Details

I. General information

NPI: 1225391808
Provider Name (Legal Business Name): ELITE HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8802 E RIMROCK DR
SCOTTSDALE AZ
85254
US

IV. Provider business mailing address

8802 E RIMROCK DR
SCOTTSDALE AZ
85255-9132
US

V. Phone/Fax

Practice location:
  • Phone: 602-330-4100
  • Fax:
Mailing address:
  • Phone: 602-330-4100
  • 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: ZORICA A ARDELEAN
Title or Position: PRESIDENT
Credential:
Phone: 602-330-4100