NPIMap

Organization Active NPI

Hospice of the Valley

  • Community Based Hospice Care Agency
  • Gilbert, AZ
National Provider Identifier
1366460289
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSPC0001 Issued in AZ
Legal business name
HOSPICE OF THE VALLEY
Practice address
2020 E Woodside CT
Gilbert, AZ 85297-7339
Phone
(480) 730-5980
Fax
(480) 730-6078
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Mrs. Deborah Shumway
Title
Associate Executive Director
Phone
(602) 530-6946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSPC0001 AZ Primary

Addresses

Primary practice location

2020 E Woodside CT
Gilbert, AZ 85297-7339

Mailing address

1510 E Flower St
Phoenix, AZ 85014-5656
Phone (602) 530-6900

Other identifiers 1

IdentifierTypeStateIssuer
900424MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001686 AZ Part A Provider - Hospice 4183617053 Practice locations: Chandler, AZ; Tempe, AZ; Gilbert, AZ

Hospice certification: CCN 031505

Legal name
HOSPICE OF THE VALLEY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 4, 1989
Last certification
Jan 29, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Feb 13, 1997 in AZ
Enrollment address
2020 E Woodside CT
Gilbert, AZ 85297-7339

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the Valley EastCCN 031505
Ownership
Non-Profit
Certified
Jan 4, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice of the Valley6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kelli Kathleen Smith Individual Corporate DirectorBoard of Directors Jan 1, 2001
John David Valiente Individual Corporate DirectorBoard of Directors Jan 1, 2016
Kathleen Sheline Hanley Individual Corporate DirectorBoard of Directors Jan 1, 2023
Margaret McBride Individual Corporate DirectorBoard of Directors Jan 1, 1998
Valerie M Gibson Individual Operational/Managerial ControlBilling Specialist Jul 10, 2000
Julie Ann Coleman Individual Corporate DirectorBoard of Directors Jan 1, 2015
Rachel Behrendt Individual Corporate OfficerSenior Vice President of Operations Jan 1, 2022
W-2 Managing EmployeeSenior Vice President of Operations Jan 1, 2022
John Rollo Jennings Individual Corporate DirectorBoard of Directors Jan 1, 2004
Michael Bassett Withey Individual Corporate DirectorBoard of Directors Jan 1, 2011
Rita Ann Meiser Individual Corporate DirectorBoard of Directors Jan 1, 1997
Diane Norma Eckstein Individual Corporate DirectorBoard of Directors Jan 1, 2010
Mary Kathleen Thompson Individual Corporate OfficerBoard of Directors Nov 21, 2024
Daniel Thaddeus Santy Individual Corporate DirectorBoard of Directors Jan 1, 1997
Autumn Smith Individual Operational/Managerial ControlBilling Manager Oct 1, 2010
Dieter George Gable Individual Corporate DirectorBoard of Directors Jan 1, 2013
Beverly Kay Thompson Individual Corporate DirectorBoard of Directors Jan 1, 2000
Ashley Crowell Individual Corporate DirectorBoard of Directors Jan 1, 2023
Deborah Shumway Individual Corporate OfficerExecutive Director Apr 18, 1994
W-2 Managing EmployeeAd;Executive Director Apr 18, 1994
Elizabeth Farley Warne Individual Corporate DirectorBoard of Directors Jan 1, 2018
Ned Stolzberg Individual Corporate OfficerExecutive Medical Director Jan 1, 2016
W-2 Managing EmployeeMD; Jan 1, 2016
Katherine Donald Individual W-2 Managing EmployeeDirector of Clinical Services Jan 1, 2023
Susan Schaffer Goldwater Levine Individual Corporate DirectorBoard of Directors Jan 1, 2017
Michelle Alore Larson Individual Corporate DirectorBoard of Directors May 22, 2025
Lanny Bruce Lahr Individual Corporate DirectorBoard of Directors Jan 1, 2000
Gerald Loel Smithson Individual Corporate DirectorBoard of Directors Jan 1, 1997
Catherine Bernadette McKee Olesen Individual Corporate DirectorBoard of Directors Jan 1, 2000

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1366460289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "602-530-6900",
            "fax_number": "602-530-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E WOODSIDE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977339",
            "telephone_number": "480-730-5980",
            "fax_number": "480-730-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "SHUMWAY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-530-6946",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "HSPC0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900424",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.