A TLC Hospice, LLC.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

A TLC HOSPICE, LLC.

Practice address

3960 E Riggs Rd Ste 3
Chandler, AZ 85249-5411

Phone

(949) 400-2849

NPI assigned

May 25, 2021

Organization subpart

No

Name

Mr. Alexander Cadiz

Title

Board of Directors

Phone

(949) 400-2849

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

• MHD Kussay Alsamkari, M.D.

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1336106186

  Contracted Managing Employee

  CMS ownership

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• MHD Kussay Alsamkari, M.D.

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1336106186

  Hospice

  Care Compare affiliation
• Richard Kim Le, D.O

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1851393003

  Hospice

  Care Compare affiliation

Listed as

A TLC Hospice LLCCCN 031766

Ownership

For-Profit

Certified

Dec 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 031766

Legal name

A TLC HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 9, 2021

Last certification

Dec 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

3960 E Riggs Rd
Ste 3
Chandler, AZ 85249-5411

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

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2021.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1972178598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495411",
            "telephone_number": "949-400-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E RIGGS RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495411",
            "telephone_number": "949-400-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TLC HOSPICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "CADIZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "949-400-2849",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "office@atlchospice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3960 E Riggs Rd Ste 3",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852495411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.

Verify at the official NPI Registry.