MEDICARE: STAR 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	:	1477140671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR HOSPICE INC

Provider Business Mailing Address
First Line	:	2028 E MEMORIAL RD
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-5515
Country	:	US
Telephone Number	:	405-574-5304
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 E CAMELBACK RD # 700-775
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4288
Country	:	US
Telephone Number	:	818-437-3177
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANDY KECHEJIAN
Credential	:
Telephone Number	:	480-690-6514

Provider Enumeration Date	:	12/22/2020
Last Update Date	:	09/13/2022

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Directions to “STAR HOSPICE INC ” Practice Location

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