Active NPI
Arizona American Hospice LLC
- Home Health Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Ownership
- For-Profit
- Certified
- Aug 30, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marietta L Uy | W-2 Managing Employee | Jan 11, 2022 | |
| Jess Martin V Siozon | 5% Or Greater Direct Ownership Interest | Sep 14, 2020 | 50% |
| Limited Partnership Interest | Sep 14, 2020 | 50% | |
| Corporate Officer | Sep 14, 2020 | 50% | |
| W-2 Managing Employee | Sep 14, 2020 | 50% | |
| Dharwin M Medina | 5% Or Greater Direct Ownership Interest | Sep 14, 2020 | 50% |
| Limited Partnership Interest | Sep 14, 2020 | 50% | |
| Corporate Officer | 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": []
}
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- Arizona Ally Medical PLLC
- Arizona Altruistic Associates Corporation
- Arizona Analytical Laboratories Inc
- Arizona Anesthesia Associates PLC
- Arizona Arthritis & Rheumatology Associates P C
- Arizona Arthritis and Rheumatology Associates
- Arizona Arthroscopy & Sports Medicine, LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.