MEDICARE: ALL TIME HOSPICE 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

General Provider Information

NPI Number	:	1801541677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL TIME HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	13231 N 35TH AVE STE A11-C
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-1233
Country	:	US
Telephone Number	:	747-877-9357
Fax Number	:	747-877-9358

Provider Business Practice Location Address
First Line	:	13231 N 35TH AVE STE A11-C
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-1233
Country	:	US
Telephone Number	:	747-877-9357
Fax Number	:	747-877-9358

Authorized Official
Title or Position	:	OWNER
Name	:	ARMAN VARDANYAN
Credential	:
Telephone Number	:	747-877-9357

Provider Enumeration Date	:	02/19/2022
Last Update Date	:	02/19/2022

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