Provider Demographics
NPI:1760218077
Name:INFINITE PEACE HOSPICE LLC
Entity type:Organization
Organization Name:INFINITE PEACE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-821-2500
Mailing Address - Street 1:16165 N 83RD AVE
Mailing Address - Street 2:STE 200 ROOM 271
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382
Mailing Address - Country:US
Mailing Address - Phone:623-469-4000
Mailing Address - Fax:623-469-4497
Practice Address - Street 1:16165 N 83RD AVE
Practice Address - Street 2:STE 200 ROOM 271
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382
Practice Address - Country:US
Practice Address - Phone:623-469-4000
Practice Address - Fax:623-469-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based