MEDICARE: CALMWATER HOSPICE, INC.

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

General Provider Information

NPI Number	:	1235067513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALMWATER HOSPICE, INC.

Provider Business Mailing Address
First Line	:	16042 N 32ND ST STE D16
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-0029
Country	:	US
Telephone Number	:	602-600-0011
Fax Number	:

Provider Business Practice Location Address
First Line	:	16042 N 32ND ST STE D16
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-0029
Country	:	US
Telephone Number	:	602-600-0011
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. GEVORG TARJUMANYAN
Credential	:
Telephone Number	:	602-600-0011

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “CALMWATER HOSPICE, INC. ” Practice Location

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