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NPI Code Detail

MEDICARE: IN MY HOME HOSPICE CARE

MEDICARE: IN MY HOME HOSPICE CARE
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 Agency

General Provider Information

NPI Number : 1629677224
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN MY HOME HOSPICE CARE
Provider Business Mailing Address
First Line : 1204 E BASELINE RD STE 101
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1447
Country : US
Telephone Number : 480-590-6556
Fax Number : 888-524-5507
Provider Business Practice Location Address
First Line : 1204 E BASELINE RD STE 101
Second Line :
City : TEMPE
State : AZ
Zip : 85283-1447
Country : US
Telephone Number : 480-590-6556
Fax Number : 888-524-5507
Authorized Official
Title or Position : OWNER
Name : GARY DAVIS
Credential :
Telephone Number : 602-319-5223
Provider Enumeration Date : 10/23/2020
Last Update Date : 10/23/2020

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Directions to “IN MY HOME HOSPICE CARE ” Practice Location

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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.

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