MEDICARE: GREATER ARIZONA 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

General Provider Information

NPI Number	:	1609710300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER ARIZONA HOSPICE LLC

Provider Business Mailing Address
First Line	:	1480 E BETHANY HOME RD STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2074
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1480 E BETHANY HOME RD STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2074
Country	:	US
Telephone Number	:	520-208-5274
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. FARAAZ KAZI
Credential	:
Telephone Number	:	520-208-5274

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “GREATER ARIZONA HOSPICE LLC ” Practice Location

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