Provider Demographics
NPI:1174192298
Name:HOSPICE OF SEDONA INC
Entity type:Organization
Organization Name:HOSPICE OF SEDONA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SELTER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MSN, RN
Authorized Official - Phone:602-818-0021
Mailing Address - Street 1:16767 N PERIMETER DR STE 240
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1066
Mailing Address - Country:US
Mailing Address - Phone:602-818-0021
Mailing Address - Fax:602-532-7134
Practice Address - Street 1:16767 N PERIMETER DR STE 240
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1066
Practice Address - Country:US
Practice Address - Phone:602-818-0021
Practice Address - Fax:602-532-7134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based