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NPI Code Detail

MEDICARE: VISTACARE USA, INC.

MEDICARE: VISTACARE USA, 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
1251G00000XCommunity Based Hospice Care Agency0065-HSPOH

Other Identifiers

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

General Provider Information

NPI Number : 1265487615
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISTACARE USA, INC.
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD
Second Line : SUITE 5000
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 480-648-4545
Fax Number : 480-648-4550
Provider Business Practice Location Address
First Line : 25 WHITNEY DR
Second Line : SUITE 102
City : MILFORD
State : OH
Zip : 45150-8402
Country : US
Telephone Number : 513-831-5800
Fax Number : 513-831-5159
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. RICHARD R SLAGER
Credential :
Telephone Number : 480-648-4545
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/22/2020

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