Active NPI
Ascension Hospice LLC
- Community Based Hospice Care Agency
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ASCENSION HOSPICE LLC
- Practice address
- 6263 N Scottsdale Rd Ste 138
Scottsdale, AZ 85250-5436 - Phone
- (928) 632-2355
- NPI assigned
- Sep 21, 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
- Linda Michelson, M.D.
- Title
- Ceo
- Phone
- (602) 789-3516
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6263 N Scottsdale Rd Ste 138
Scottsdale, AZ 85250-5436
Mailing address
5995 E Grant Rd Ste 200
Tucson, AZ 85712-2355
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | davidcutler@davidcutlercpa.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221006000390 | AZ | Part A Provider - Hospice | 8820470826 | Practice locations: Scottsdale, AZ |
Hospice certification: CCN 001562
- Legal name
- ASCENSION HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 1, 2023
- Last certification
- Apr 20, 2023
- Organization structure
- LLC
- Incorporated
- Sep 6, 2021 in AZ
- Enrollment address
- 6263 N Scottsdale Rd
Ste 138
Scottsdale, AZ 85250-5436
Care Compare: Hospice
Medicare Care Compare- Listed as
- Ascension Hospice LLC
- Certified
- May 1, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
5995 E Grant Rd
Ste 200
Tucson, AZ 85712
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Linda N Michelson | 5% Or Greater Direct Ownership Interest | Jun 9, 2021 | 100% |
| Corporate Officer | Sep 6, 2021 | ||
| Corporate Director | Sep 6, 2021 | ||
| W-2 Managing Employee | Sep 6, 2021 | ||
| David Garcia | Corporate Officer | Sep 1, 2022 | 100% |
| Corporate Director | Sep 1, 2022 | 100% | |
| W-2 Managing Employee | Sep 1, 2022 | 100% | |
| Operational/Managerial Control | Sep 1, 2021 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1063437051
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": "1632182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1841961869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 E GRANT RD STE 200",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6263 N SCOTTSDALE RD STE 138",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852505436",
"telephone_number": "928-632-2355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCENSION HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-21",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "MICHELSON",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-789-3516",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "davidcutler@davidcutlercpa.com",
"affiliation": "N",
"address_1": "5995 E Grant Rd Ste 200",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857122355",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.