OrganizationActiveAccepts Medicare
Primavera Hospice LLC
NPI 1689322307 · Community Based Hospice Care Agency · Glendale, AZ
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1689322307
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Teresita Isiderio, Administrator(480) 343-8045
Specialties & taxonomies
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8751 N. 51st Avenue Ste 121-E
Glendale, AZ 85302
Phone: (480) 343-8045
Street-level locationGet directions
Mailing address
8751 N. 51st Avenue Ste 121-E
Glendale, AZ 85302
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-03-11
- Certified
- 2022-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.