Lavender Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LAVENDER HOSPICE LLC

Practice address

2025 N 3Rd St Ste 180
Phoenix, AZ 85004-1483

Phone

(602) 283-3663

Fax

(602) 283-3682

NPI assigned

Nov 7, 2017

Last updated

Oct 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roselavender A RichardsNPI 1417934902

Title

Medical Director

Phone

(602) 283-9898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982117305. Details of each certification follow.

• CCN 031693 Hospice · Active · Details

Hospice certification: CCN 031693

Legal name

LAVENDER HOSPICE LLC

Doing business as

LAVENDER HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 19, 2019

Last certification

Mar 19, 2019

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Aug 21, 2017 in AZ

Enrollment address

20815 N 25TH PL
Ste A106
Phoenix, AZ 85050-4617

Listed as

Lavender HospiceCCN 031693 · All quality measures

Ownership

Other

Certified

Mar 19, 2019

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dr Richards PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1720590011

  Member Of

  NPD member

All disclosed owners & managing parties 1

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

Owners & managing parties with NPI records 1

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

• Roselavender A Richards, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1417934902

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roselavender A Richards, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1417934902
  NPD Authorized official

Affiliated clinicians 2

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

• Makonnen G. Habtemariam, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1851357909

  Hospice

  Care Compare affiliation
• Roselavender A Richards, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1417934902

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1982117305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041483",
            "telephone_number": "602-283-3663",
            "fax_number": "602-283-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041483",
            "telephone_number": "602-283-3663",
            "fax_number": "602-283-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "ROSELAVENDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "602-283-9898"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laveen Medical Pavillion
• Laveen Sunsets Residential Homes LLC
• Jessica Adel Lavelle
• Laven Elementary School District
• Paul S Laven, DO
• Lavender Palliative Care
• Brendon T Lavender
• Margie L Lavender, LPC
• Joseph H Laver, M.D.
• Amy L Lavery, RD

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.