Organization Active NPI

Arizona American Hospice LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1578170643
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARIZONA AMERICAN HOSPICE LLC
Practice address
3101 N Central Ave Ste 770
Phoenix, AZ 85012-2665
Phone
(602) 399-2610
Fax
(480) 718-8633
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Mr. Jess Martin Siozon
Title
Administrator
Phone
(602) 399-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3101 N Central Ave Ste 770
Phoenix, AZ 85012-2665

Mailing address

1325 S 123Rd Dr
Avondale, AZ 85323-3140
Phone (602) 399-2610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201002651 AZ Part A Provider - Hospice 5193139285 Practice locations: Phoenix, AZ

Hospice certification: CCN 031751

Legal name
ARIZONA AMERICAN HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 30, 2021
Last certification
Aug 30, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 14, 2020
Enrollment address
3101 N Central Ave
Ste 770
Phoenix, AZ 85012-2665

Care Compare: Hospice

Medicare Care Compare
Listed as
Arizona American Hospice, LLCCCN 031751
Ownership
For-Profit
Certified
Aug 30, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2200 E Williams Field Rd
Ste 14B
Gilbert, AZ 85295
Phone (480) 488-1520

3101 N Central Ave
Ste 770
Phoenix, AZ 85012
Phone (480) 851-0380

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Marietta L Uy Individual W-2 Managing EmployeeMD; Jan 11, 2022
Jess Martin V Siozon Individual 5% Or Greater Direct Ownership Interest Sep 14, 2020 50%
Limited Partnership InterestBoard Member Sep 14, 2020 50%
Corporate OfficerBoard Member Sep 14, 2020 50%
W-2 Managing EmployeeBoard Member/Administrator Sep 14, 2020 50%
Dharwin M Medina Individual 5% Or Greater Direct Ownership Interest Sep 14, 2020 50%
Limited Partnership InterestBoard Member Sep 14, 2020 50%
Corporate OfficerBoard Member Sep 14, 2020 50%

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 1

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": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1578170643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S 123RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853233140",
            "telephone_number": "602-399-2610",
            "fax_number": "480-718-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 770",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122665",
            "telephone_number": "602-399-2610",
            "fax_number": "480-718-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA AMERICAN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "SIOZON",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-399-2610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.