Organization Active NPI

Golden Gate Hospice Inc

  • Community Based Hospice Care Agency
  • Tempe, AZ
National Provider Identifier
1063170108
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Oct 16, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 PhoenixCCN 001518
Ownership
For-Profit
Certified
Aug 9, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2297677Ovation Hospice410 N Scottsdale Rd Ste 1000, Tempe, AZ 85288Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ray Henderson Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 33.33%
Ovation Hospice Holding of Arizona, LLC Organization, Midvale, UT Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Ovation Hospice Holding, BLLC Organization, Midvale, UT LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2023 100%
Evrett Benton Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 33.33%
Mathew Harrison Individual Corporate OfficerChief Financial Officer Sep 1, 2023
Adam Benton Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 33.33%
Cassi Scopa Individual W-2 Managing EmployeeAd; Mar 9, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.