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NPI Code Detail

MEDICARE: ENCORE HOSPICE LLC

MEDICARE: ENCORE 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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1912861725
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCORE HOSPICE LLC
Provider Business Mailing Address
First Line : 3655 W ANTHEM WAY STE A109-386
Second Line :
City : ANTHEM
State : AZ
Zip : 85086-0430
Country : US
Telephone Number : 623-248-6636
Fax Number : 623-250-2371
Provider Business Practice Location Address
First Line : 4122 W INNOVATIVE DR STE 101H&I
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-3846
Country : US
Telephone Number : 623-248-6636
Fax Number : 623-250-2371
Authorized Official
Title or Position : CEO/OWNER
Name : AVA HOLLY CARLSON
Credential :
Telephone Number : 623-248-6636
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ENCORE HOSPICE LLC ” 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.