Active NPI
Golden Gate Hospice Inc
- Community Based Hospice Care Agency
- Tempe, AZ
National Provider Identifier
1063170108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GOLDEN GATE HOSPICE INC
- Practice address
- 410 N Scottsdale Rd Ste 1000
Tempe, AZ 85288-7095 - Phone
- (602) 669-9812
- NPI assigned
- Dec 6, 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
- Mathew Harrison
- Title
- President
- Phone
- (817) 941-1068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
410 N Scottsdale Rd Ste 1000
Tempe, AZ 85288-7095
Mailing address
410 N Scottsdale Rd Ste 1000
Tempe, AZ 85288-7095
Phone (602) 669-9812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211222001325 | AZ | Part A Provider - Hospice | 2567853716 | Practice locations: Tempe, AZ |
Hospice certification: CCN 001518
- Legal name
- GOLDEN GATE HOSPICE INC
- Doing business as
- OVATION HOSPICE OF PHOENIX
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 9, 2022
- Last certification
- Aug 9, 2022
- Ownership / control type
- Proprietary - Corporation
- Most recent change of ownership
- Dec 1, 2023
- Organization structure
- Corporation
- Incorporated
- Nov 16, 2021 in AZ
- Enrollment address
- 410 N Scottsdale Rd
Ste 1000
Tempe, AZ 85288-7095
Care Compare: Hospice
Medicare Care Compare- Listed as
- Ovation Hospice of Phoenix
- Ownership
- For-Profit
- Certified
- Aug 9, 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 |
|---|---|---|---|
| 03D2297677 | Ovation Hospice | Certificate of waiver | Jan 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
4150 W Peoria Ave
Ste B114D
Phoenix, AZ 85029
Phone (480) 885-5284
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Ray Henderson | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 33.33% |
| Ovation Hospice Holding of Arizona, LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 100% |
| Ovation Hospice Holding, BLLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 100% |
| Evrett Benton | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 33.33% |
| Mathew Harrison | Corporate Officer | Sep 1, 2023 | |
| Adam Benton | 5% Or Greater Indirect Ownership Interest | Sep 1, 2023 | 33.33% |
| Cassi Scopa | W-2 Managing Employee | Mar 9, 2025 |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Mesa, AZ
- NPI 1356921977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1063170108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N SCOTTSDALE RD STE 1000",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852887095",
"telephone_number": "602-669-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N SCOTTSDALE RD STE 1000",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852887095",
"telephone_number": "602-669-9812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN GATE HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-06",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-941-1068"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.