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	315D00000X	Inpatient Hospice
2	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	:	1568492395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RTA HOSPICE, LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DR
Second Line	:	SUITE 400
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5078
Country	:	US
Telephone Number	:	615-425-5407
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	511 S MUD SPRINGS ROAD
Second Line	:
City	:	PAYSON
State	:	AZ
Zip	:	85541-5747
Country	:	US
Telephone Number	:	928-472-6340
Fax Number	:	928-468-2120

Authorized Official
Title or Position	:	SVP GENERAL COUNSEL
Name	:	RUSSELL ADKINS
Credential	:
Telephone Number	:	615-309-5668

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/21/2022

Similar Medicare Providers

1386106391 — JOSHUA LEE PRICE F.N.P.
Practice Location Address:

708 S COEUR D'ALENE LN , SUITE C
PAYSON, AZ
85541-5662

Practice Phone: 928-474-9382
Practice Fax: 877-673-1780

1982533816 — DR. LAMBERTO CASTILLO JR. DO
Practice Location Address:

807 S PONDEROSA ST
PAYSON, AZ
85541-5542

Practice Phone: 928-471-3222
Practice Fax:

1356278550 — JAEGAR DEAN WHITE MD
Practice Location Address:

117 E MAIN ST STE A100
PAYSON, AZ
85541-4606

Practice Phone: 928-596-4500
Practice Fax:

1821848185 — DR. GABRIEL HECTOR LOPEZ MD
Practice Location Address:

117 E MAIN ST STE A100
PAYSON, AZ
85541-4606

Practice Phone: 928-596-4500
Practice Fax:

1093416893 — ARIZONA INSTITUTE OF DERMATOLOGY PAYSON LLC
Practice Location Address:

127 E MAIN ST STE A
PAYSON, AZ
85541-5646

Practice Phone: 928-951-0395
Practice Fax: 928-492-9319

1093718694 — PAYSON HEALTHCARE MANAGEMENT INC
Practice Location Address:

126 E MAIN ST STE B
PAYSON, AZ
85541-5488

Practice Phone: 928-472-4675
Practice Fax: 928-472-3427

Directions to “RTA HOSPICE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.