Active NPI
Synergy Hospice Services Inc
- Community Based Hospice Care Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SYNERGY HOSPICE SERVICES INC
- Practice address
- 2432 W Peoria Ave Ste 1343
Phoenix, AZ 85029-4741 - Phone
- (602) 373-9483
- Fax
- (928) 318-8640
- NPI assigned
- Sep 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Mercedes Rivera Valenzuela
- Title
- Director
- Phone
- (602) 373-9483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2432 W Peoria Ave Ste 1343
Phoenix, AZ 85029-4741
Mailing address
2432 W Peoria Ave Ste 1343
Phoenix, AZ 85029-4741
Phone (602) 373-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210928000825 | AZ | Part A Provider - Hospice | 7517364979 | Practice locations: Phoenix, AZ |
Hospice certification: CCN 031795
- Legal name
- SYNERGY HOSPICE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 13, 2022
- Last certification
- Apr 13, 2022
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- Corporation
- Incorporated
- Nov 7, 2023 in AZ
- Enrollment address
- 2432 W Peoria Ave
Ste 1343
Phoenix, AZ 85029-4741
Care Compare: Hospice
Medicare Care Compare- Listed as
- Synergy Hospice Service Inc
- Ownership
- For-Profit
- Certified
- Apr 13, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2339910 | Synergy Hospice Services Inc | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
2432 W Peoria Ave
Ste 1343
Phoenix, AZ 85029
Phone (602) 358-7106
4150 W Peoria Ave
Ste B118B
Phoenix, AZ 85029
Phone (602) 960-6030
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Mercedes Rivera Valenzuela | 5% Or Greater Direct Ownership Interest | Nov 7, 2023 | 50% |
| Corporate Officer | Nov 7, 2023 | 50% | |
| Corporate Director | Nov 7, 2023 | 50% | |
| W-2 Managing Employee | Nov 7, 2023 | 50% | |
| Moses Imohi | W-2 Managing Employee | Nov 6, 2023 | |
| Sarah Bansuan Arabit | 5% Or Greater Direct Ownership Interest | Nov 7, 2023 | 50% |
| Corporate Officer | Nov 7, 2023 | 50% | |
| Corporate Director | Nov 7, 2023 | 50% | |
| W-2 Managing Employee | Nov 7, 2023 | 50% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1144792433
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
-
- Internal Medicine Physician
- Chandler, AZ
- NPI 1437438041
W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chandler, AZ
- NPI 1437438041
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1013685155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 W PEORIA AVE STE 1343",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294741",
"telephone_number": "602-373-9483",
"fax_number": "928-318-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 W PEORIA AVE STE 1343",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294741",
"telephone_number": "602-373-9483",
"fax_number": "928-318-8640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY HOSPICE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-02",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A",
"authorized_official_last_name": "VALENZUELA",
"authorized_official_first_name": "MARIA MERCEDES",
"authorized_official_middle_name": "RIVERA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "602-373-9483"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.