Provider Demographics
NPI:1104802545
Name:HOSPICE FAMILY CARE, INC.
Entity type:Organization
Organization Name:HOSPICE FAMILY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONA QA COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:CYNTHIA
Authorized Official - Last Name:HILDITCH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-876-9100
Mailing Address - Street 1:17220 N BOSWELL BLVD
Mailing Address - Street 2:SUITE E225
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85373-1982
Mailing Address - Country:US
Mailing Address - Phone:623-876-9100
Mailing Address - Fax:623-876-9300
Practice Address - Street 1:17220 N BOSWELL BLVD
Practice Address - Street 2:SUITE E225
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85373-1982
Practice Address - Country:US
Practice Address - Phone:623-876-9100
Practice Address - Fax:623-876-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC0062251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ409591Medicaid
AZAZ0700420OtherBC/BS OF ARIZONA
=========OtherMED-CARE MANAGEMENT
=========004OtherPGBA/TRICARE
AZAZ0700420OtherBC/BS OF ARIZONA
AZ=========OtherHEALTH MARKET
=========OtherHUMANA HEALTH
=========OtherMUTUAL OF OMAHA
=========OtherUNITED HEALTH CARE
=========OtherBENESIGHT CLAIMS
=========OtherAETNA US HEALTHCARE
=========OtherHUMANA HEALTH PLAN
=========OtherVA ADMINISTRATION
AZ409591Medicaid
=========OtherACORDIA NATIONAL
=========OtherGEHA
=========OtherPACIFICARE OF AZ
AZ=========OtherADMIN ENTERPRISE, INC
=========OtherCBCA
=========OtherHUMANA HEALTH