Provider Demographics
NPI:1942009048
Name:ARIZONA HORIZON HOSPICE LLC
Entity type:Organization
Organization Name:ARIZONA HORIZON HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:520-401-8760
Mailing Address - Street 1:8071 S DOLPHIN WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-9343
Mailing Address - Country:US
Mailing Address - Phone:520-401-8760
Mailing Address - Fax:
Practice Address - Street 1:8071 S DOLPHIN WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-9343
Practice Address - Country:US
Practice Address - Phone:520-401-8760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based