Madrona Hospice Az LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HSPC8708 Issued in AZ

Legal business name

MADRONA HOSPICE AZ LLC

Practice address

410 N Scottsdale Rd Ste 1000
Tempe, AZ 85281-7095

Phone

(480) 566-5997

Fax

(480) 219-8283

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Steele

Title

Ceo

Phone

(425) 247-9786

Specialties & licenses 1

Addresses

Other names 1

• Madrona Hospice Doing business as

Locations

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1346738879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 104A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606731",
            "telephone_number": "480-566-5997",
            "fax_number": "480-219-8283"
        },
        {
            "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": "852817095",
            "telephone_number": "480-566-5997",
            "fax_number": "480-219-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONA HOSPICE AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2021-07-08",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-247-9786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC8708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madrona Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J Edward Bernardo Maddela, MD
• Kimberly Madden, RN
• Shannon Lenore Madden, LPC
• Danielle Madrid, BCAT
• Bryanna Alyssa Madrigal, MS, BCBA, LBA
• Madrona Hospice Az LLC
• Brent L Madsen, PA-C
• Wakana Maeta, MAT, LAT, ATC
• Esteban Magana, M.D.
• Michael Magarinos, LAMFT

• Community Based Hospice Care Agency in Tempe, AZ
• Providers in Tempe, 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 Jul 8, 2021; 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.