Coalescence Health Services, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

COALESCENCE HEALTH SERVICES, LLC

Practice address

1310 N 24TH St Ste 120
Phoenix, AZ 85008-4617

Phone

(623) 850-5608

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Tangina Maloof

Title

Treasurer

Phone

(469) 636-5055

Specialties & licenses 1

Addresses

Other names 1

• Bridge Dialysis of Arizona Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1124707674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N 24TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084617",
            "telephone_number": "623-850-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N 24TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084617",
            "telephone_number": "623-850-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALESCENCE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Dialysis of Arizona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridge Dialysis of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CMG Audiology
• CMJ Recovery Az LLC
• CMJ Recovery Az LLC
• Cmr2612,LLC
• Jennifer Co, MD
• Mary E Coalson, LPC
• Kathryn Elise Coan, M.D.
• Coastal Laboratories, Inc.
• Coasterra Anesthesia LLC
• Jessica Coates, M.A.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.