Organization Active NPI

Ascension Hospice LLC

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
National Provider Identifier
1841961869
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Linda Michelson, M.D.NPI 1063437051
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address davidcutler@davidcutlercpa.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 001562 ยท All quality measures
Certified
May 1, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Linda N Michelson Individual 5% Or Greater Direct Ownership InterestCeo Jun 9, 2021 100%
Corporate Officer Sep 6, 2021
Corporate Director Sep 6, 2021
W-2 Managing Employee Sep 6, 2021
David Garcia Individual 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.

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

Verify at the official NPI Registry.