Organization Active NPI

Good Shepherd Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Chandler, AZ
National Provider Identifier
1760074249
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOOD SHEPHERD HOSPICE CARE INC.
Practice address
3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Phone
(480) 712-0700
NPI assigned
Feb 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Thomas W Fender III
Title
Ceo
Phone
(702) 237-0216

Specialties & licenses 1

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

Addresses

Primary practice location

3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472

Mailing address

3100 W Ray Rd Ste 201
RM 211
Chandler, AZ 85226-2472
Phone (480) 712-0700

Other names 1

  • AMG Hospice & Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210719000229 AZ Part A Provider - Hospice 3870995541 Practice locations: Tempe, AZ

Hospice certification: CCN 031792

Legal name
GOOD SHEPHERD HOSPICE CARE INC.
Doing business as
AMG HOSPICE OF ARIZONA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 6, 2022
Last certification
Apr 6, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 11, 2020 in AZ
Enrollment address
4703 S Lakeshore Dr
Ste 6
Tempe, AZ 85282-7159

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Shepherd Hospice Care IncCCN 031792
Ownership
For-Profit
Certified
Apr 6, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4150 W Peoria Ave
Ste B116F
Phoenix, AZ 85029
Phone (602) 742-0333

4703 S Lakeshore Dr
Ste 6
Tempe, AZ 85282
Phone (480) 712-0700

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Jona Pagano Individual W-2 Managing EmployeeAd; May 1, 2024
Thomas Wilson Fender Individual 5% Or Greater Indirect Ownership InterestCeo Dec 8, 2023 100%
Corporate OfficerCeo Jan 1, 2024
David Wayne Nattress Individual Corporate Director Jan 1, 2024
Kirby R Farnsworth Individual Contracted Managing EmployeeMD; May 1, 2024
Tech-Fall Industries, LLC Organization, Tempe, AZ LLC 5% Or Greater Direct Ownership Interest Dec 8, 2023 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1760074249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W RAY RD STE 201",
            "address_2": "RM 211",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262472",
            "telephone_number": "480-712-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W RAY RD STE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262472",
            "telephone_number": "480-712-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-237-0216",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMG Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.