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NPI Code Detail

MEDICARE: NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC

MEDICARE: NEW BEGINNING HOSPICE AND PALLIATIVE CARE, 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1972974954
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC
Provider Business Mailing Address
First Line : 18001 N 79TH AVE STE A6
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8389
Country : US
Telephone Number : 623-234-8918
Fax Number :
Provider Business Practice Location Address
First Line : 18001 N 79TH AVE STE A6
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8389
Country : US
Telephone Number : 623-234-8918
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : NELIDA FANTILAGA HERVIAS
Credential :
Telephone Number : 623-234-8036
Provider Enumeration Date : 10/15/2015
Last Update Date : 11/20/2015

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Directions to “NEW BEGINNING HOSPICE AND PALLIATIVE CARE, LLC ” Practice Location

Language Start Address Practice Location
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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