ACCORD HOSPICE OF THE WHITE MOUNTAINS, LLC
NPI 1376984302
Hospice Care, Community Based in Show Low, AZ

NPI Status: Active since July 05, 2013

Contact Information

5300 S SUTTER DR BLDG C
SHOW LOW, AZ
ZIP 85901
Phone: (928) 271-8013
Fax: (801) 337-1889

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 03D2271946
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 11-09-2026

About ACCORD HOSPICE OF THE WHITE MOUNTAINS, LLC

This page provides the complete NPI Profile along with additional information for Accord Hospice Of The White Mountains, Llc, a provider established in Show Low, Arizona operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1376984302 assigned on July 2013. The practitioner's primary taxonomy code is 251G00000X with license number HSPC5741 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Diedra R Kearney (Coo)

NPI
1376984302
Provider Name
ACCORD HOSPICE OF THE WHITE MOUNTAINS, LLC
Entity Type
Organization
Location Address
5300 S SUTTER DR BLDG C SHOW LOW, AZ 85901
Location Phone
(928) 271-8013
Location Fax
(801) 337-1889
Mailing Address
5300 S SUTTER DR BLDG C SHOW LOW, AZ 85901
Mailing Phone
(928) 271-8013
Mailing Fax
(801) 337-1889
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-05-2013
Last Update Date
02-27-2022
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 11-16-2013 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
HSPC5741
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Gold - Neighborhood Network - HMO
  • Blue StandardHealth Silver - Neighborhood Network - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DIEDRA R KEARNEY

Authorized Official Title
COO
Authorized Official Phone
(801) 920-8875

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)031622
Ownership TypeFor-Profit
Medicare Certification Date11-16-2013
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
65.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
15
Care Provided in Home
Percentage of days patients received care in home
80
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
Not Available - Number of patients is too small to report.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
Not Available - Number of patients is too small to report.
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
3
Hospice and Palliative Care Treatment Preferences
Facility observed rate
99.2
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
88.8
Hospice and Palliative Care Pain Screening
Facility observed rate
99.2
Hospice and Palliative Care Pain Assessment
Facility observed rate
95.6
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
97.5
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
83.4
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
75.7
Hospice and Palliative Care Composite Process Measure
Facility observed rate
70.5
Hospice Visits in the Last Days of Life
307
Hospice Visits in the Last Days of Life
Facility observed rate
78.2
Hospice Care Index Overall Score
Facility observed rate
10.0
CHC/GIP provided (% days)
61,504
CHC/GIP provided (% days)
Facility observed rate
0.1
CHC/GIP provided (% days)
65
Gaps in nursing visits (% elections)
312
Gaps in nursing visits (% elections)
Facility observed rate
26.0
Gaps in nursing visits (% elections)
15
Early live discharges (% live discharges)
75
Early live discharges (% live discharges)
Facility observed rate
4.0
Early live discharges (% live discharges)
35
Late live discharges (% live discharges)
75
Late live discharges (% live discharges)
Facility observed rate
44.0
Late live discharges (% live discharges)
62
Burdensome transitions, Type 1(% live discharges)
75
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
6.7
Burdensome transitions, Type 1 (% live discharges)
50
Burdensome transitions, Type 2(% live discharges)
75
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
1.3
Burdensome transitions, Type 2 (% live discharges)
52
Per-beneficiary spending (U.S. dollars $)
510
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
18,704
Per-beneficiary spending (U.S. dollars $)
62
Nurse care minutes per routine home care days (minutes)
61,309
Nurse care minutes per routine home care days (minutes)
Facility observed rate
13.4
Nurse care minutes per routine home care days (minutes)
62
Skilled nursing minutes on weekends (% minutes)
819,180
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
5.2
Skilled nursing minutes on weekends (% minutes)
17
Visits near death (% decedents)
369
Visits near death (% decedents)
Facility observed rate
96.7
Visits near death (% decedents)
78
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
24
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
21
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
19
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
4
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
9
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
4
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2271946
Facility Type
Hospice
Certificate Effective Date
November 10, 2024
Certificate Expiration Date
November 09, 2026
Laboratory Director
DIEDRA R. KEARNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Accord Hospice Of The White Mountains, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376984302
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146188830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 8 + 8 + 3 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1376984302 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376984302, enumerated in the NPI registry as an "organization" on July 05, 2013

The provider is located at 5300 S Sutter Dr Bldg C Show Low, Az 85901 and the phone number is (928) 271-8013

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D2271946 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 05, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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