MEDICARE: HOSPICE FAMILY CARE, 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	HSPC0030	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0700420	OTHER	AZ	BC/BS OF ARIZONA
2	IZ0241	OTHER		HEALTH NET
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	F05222	OTHER	AZ	PHOENIX HEALTH PLAN

General Provider Information

NPI Number	:	1760467575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE FAMILY CARE, INC.

Provider Business Mailing Address
First Line	:	655 BRAWLEY SCHOOL RD
Second Line	:	SUITE 200
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-9125
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:	704-664-1306

Provider Business Practice Location Address
First Line	:	3112 N SWAN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1227
Country	:	US
Telephone Number	:	520-790-9299
Fax Number	:	520-790-9279

Authorized Official
Title or Position	:	VP OF LICENSURE
Name	:	JANET COMBS
Credential	:
Telephone Number	:	704-662-1761

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	03/20/2025

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Directions to “HOSPICE FAMILY CARE, INC. ” Practice Location

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