Km234

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KM234

Doing business as

Desert Bloom Hospice

Practice address

15 N Central St # D
Colorado City, AZ 86021-6141

Phone

(435) 879-3031

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahogani Madrigal, MBA

Title

President

Phone

(801) 318-1420

Specialties & licenses 1

Addresses

Other names 1

• Desert Bloom Hospice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1093415739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 W 540 N",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847371414",
            "telephone_number": "801-318-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N CENTRAL ST # D",
            "city": "COLORADO CITY",
            "state": "AZ",
            "postal_code": "860216141",
            "telephone_number": "435-879-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM234",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "MAHOGANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-318-1420",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Bloom Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianne Holmes, FNP-C
• Hometown Wellness PLLC
• Melanie S Honey
• Hannah Timpson Horsley
• Melissa Hunnicutt
• KS Healthcare (Desert Bloom Hospice)
• Maha Layton
• Monarch Institute of Health and Rehabilitation
• Shawnette Ramos, DENTAL HYGIENIST
• Josephine R Roundy, R.N,

• Community Based Hospice Care Agency in Colorado City, AZ
• Providers in Colorado City, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.