Active NPI
Good Shepherd Hospice Care Inc.
- Community Based Hospice Care Agency
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- For-Profit
- Certified
- Apr 6, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jona Pagano | W-2 Managing Employee | May 1, 2024 | |
| Thomas Wilson Fender | 5% Or Greater Indirect Ownership Interest | Dec 8, 2023 | 100% |
| Corporate Officer | Jan 1, 2024 | ||
| David Wayne Nattress | Corporate Director | Jan 1, 2024 | |
| Kirby R Farnsworth | Contracted Managing Employee | May 1, 2024 | |
| Tech-Fall Industries, 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.
-
- Emergency Medicine Physician
- Wickenburg, AZ
- NPI 1124464839
Contracted Managing Employee
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1386398683
Tech-Fall Industries, LLC
-
- Community Based Hospice Care Agency
- Denver, CO
- NPI 1023758539
Tech-Fall Industries, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.