Accord Hospice of the White Mountains, LLC
Organization Active NPI Community Based Hospice Care Agency · Show Low, AZ
NPI 1376984302 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1376984302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- HSPC5741 (AZ)
- Legal business name
- ACCORD HOSPICE OF THE WHITE MOUNTAINS, LLC
- Practice address
- 5300 S Sutter Dr BLDG C
Show Low, AZ 85901-8054 - Phone
- (928) 271-8013
- Fax
- (801) 337-1889
- NPI assigned
- Jul 5, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ACCORD HOME HEALTH AND HOSPICE, LLC
Authorized official
- Name
- Katie Feil
- Title
- Coo
- Phone
- (801) 882-4056
Facilities with the same owner 2
Affiliated clinicians 3
Medicare Care Compare: Hospice
- Listed as
- Accord Hospice of the White Mountains, LLC
- Ownership
- For-Profit
- Certified
- Nov 16, 2013
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2271946 | Accord Hospice | Certificate of waiver | Nov 9, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Hospice certification: CCN 031622
- Legal name
- ACCORD HOSPICE OF THE WHITE MOUNTAINS, LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 16, 2013
- Last certification
- Jan 12, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 11, 2013 in AZ
- Enrollment address
- 5658 Hwy 260
Suite 9
Lakeside, AZ 85929-5189
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Accord Home Health and Hospice LLC |
5% Or Greater Direct Ownership Interest | Apr 11, 2013 | 100% |
| Scott D Stringham |
5% Or Greater Indirect Ownership Interest | Apr 11, 2013 | 25% |
| Corporate Officer |
Apr 11, 2013 | 50% | |
| Diedra R Kearney |
5% Or Greater Indirect Ownership Interest | Jul 15, 2013 | 25% |
| Corporate Officer | Jul 15, 2013 | 50% | |
| Accord Staffing Services LLC |
Operational/Managerial Control | Apr 11, 2013 | 49% |
| Kenneth R Kearney |
Corporate Officer | Jul 15, 2013 | 50% |
| W-2 Managing Employee |
Jul 15, 2013 | ||
| Anndun Enterprises LLC |
5% Or Greater Indirect Ownership Interest | Apr 11, 2013 | 50% |
| Natalie a Stringham |
5% Or Greater Indirect Ownership Interest | Apr 11, 2013 | 25% |
| D&K Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 15, 2013 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130814000852 | AZ | Part a Provider - Hospice | 2961644356 | Practice locations: Lakeside, AZ |
National Provider Directory
Locations
5300 S Sutter Dr
Unit C
Show Low, AZ 85901
Phone (928) 271-8013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HSPC5741 | AZ | Yes |
Addresses
Primary practice location
5300 S Sutter Dr BLDG C
Show Low, AZ 85901-8054
Mailing address
5300 S Sutter Dr BLDG C
Show Low, AZ 85901-8054
Phone (928) 271-8013
Other providers in Show Low, AZ
- A Daniel Greco MD PLLC
- A Step Forward Behavioral Services, LLC
- Chase C Adams
- Chester Trent Adams
- Advanced Anesthesia Group, LLC
- Advanced Dental Care of Show Low, PLLC
- Ahwatukee Anesthesia Associates PC
All providers in Show Low, AZ · Community Based Hospice Care Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.