Provider Demographics
NPI:1285059675
Name:HOSPICE OF PAYSON, LLC
Entity type:Organization
Organization Name:HOSPICE OF PAYSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:GAE
Authorized Official - Last Name:ARGENTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-474-2415
Mailing Address - Street 1:900 N BEELINE HWY
Mailing Address - Street 2:SUITE #B
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-3769
Mailing Address - Country:US
Mailing Address - Phone:928-474-2415
Mailing Address - Fax:928-474-2140
Practice Address - Street 1:900 N BEELINE HWY
Practice Address - Street 2:SUITE #B
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-3769
Practice Address - Country:US
Practice Address - Phone:928-474-2415
Practice Address - Fax:928-474-2140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
163WH1000XOtherHOSPICE