Organization
COPPER COMMUNITIES HOSPICE, LLC
Active
Other names
Aviant Hospice Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E BASS (PRESIDENT)
(602) 717-4751
Entity
Organization
Contact information
Practice address
1400 N GILBERT RD STE H, GILBERT, AZ 85234-2321
(480) 398-2411
(480) 664-7071
Mailing address
2430 W RAY RD STE 3, CHANDLER, AZ 85224-3552
(480) 383-8599
(480) 398-1620
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
HSPC4796
AZ
251G00000X
Community Based Hospice Care Agency
Primary
HSPC5322
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
583314
—
AZ
Enumeration date
10/12/2009
Last updated
05/16/2022
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