Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Moon Hospice Care Inc

Organization Community Based Hospice Care Agency · NPI 1649910183

Blue Moon Hospice Care Inc is a Community Based Hospice Care Agency in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13041 N 35th Ave Ste C11-12
Phoenix, AZ 85029-1230
Phone: (928) 766-0902
Fax: (928) 766-4123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Based Hospice Care Agency (primary) Taxonomy 251G00000X

Record details

NPI number1649910183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Shyshakova — Ceo · (928) 766-0902
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address13041 N 35th Ave Ste C11-12, Phoenix, AZ 85029-1230

Other providers in Phoenix