HOSPICE OF ARIZONA - PHOENIX, AZ

United States hospital / nursing home:
HOSPICE OF ARIZONA - PHOENIX, AZ

HOSPICE OF ARIZONA
9155 NORTH 3RD STREET
PHOENIX, AZ 85020

Institution's representative submitted the following:
Please update your records with our current contact information: Hospice of Arizona 2222 West Northern Avenue Phoenix Arizona 85021 602.678.1313 602.242.2178 Fax http://www.hospiceaz.com Email: info@hospiceaz.com

SHORT TERM HOSPICES

Services provided by HOSPICE OF ARIZONA:

Physicians (The number of full-time equivalent physicians employed by a provider): 1

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 6

Other personnel (The number of full-time equivalent other salaried personnel employed by a facility): 15

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 24

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED UNDER ARRANGEMENT

Type of facility (Indicates the category which represents the type of facility): REHABILITATION

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 5

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 15

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Total # of employees (The total number of full-time employees in a hospice or an intermediate care facility/mental retardation facility): 6900

Srv: physician (Indicates how physician services are provided): PROVIDED BY EMPLOYEES

Acute/respite care indicator (Indicates if the hospice provides acute and/or respite short term inpatient care): SHORT TERM INPATIENT ACUTE CARE PROV'D IN HSP

Counselors - Staff (The number of full-time equivalent counselors employed by a hospice): 2

Counselors - Volunteer (The number of full-time equivalent volunteer counselors in a hospice): 2

Homemakers - Staff (The number of full-time equivalent homemakers employed by a hospice): 1

Srv: counseling (Indicates how counseling services are provided by a hospice): PROVIDED BY STAFF

Srv: home health aide (Indicates how home health aide services are provided by a hospice): PROVIDED BY STAFF

Srv: homemaker (Indicates how homemaker services are provided by a hospice): PROVIDED BY STAFF

Srv: medical supplies (Indicates how medical supplies services are provided by a hospice): PROVIDED BY STAFF

Srv: short term inpatient care (Indicates how short term inpatient care services are provided by a hospice): PROVIDED BY STAFF

Volunteers - Other (The number of full-time equivalent other volunteers in a hospice): 89

Volunteers - Total (The number of full-time volunteers in a hospice): 9100

Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Sep 1997

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jan 1995