MEDICARE: RTA HOSPICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023048857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RTA HOSPICE, LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DR STE 400
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1001
Country	:	US
Telephone Number	:	615-425-5407
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	1821 N TREKELL RD STE 8
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-1705
Country	:	US
Telephone Number	:	520-421-7143
Fax Number	:	520-421-7315

Authorized Official
Title or Position	:	SVP GENERAL COUNSEL
Name	:	RUSSELL ADKINS
Credential	:
Telephone Number	:	615-926-0340

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	12/11/2025

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Directions to “RTA HOSPICE, LLC ” Practice Location

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