Active NPI
Amatus Hospice and Palliative Care LLC
- Community Based Hospice Care Agency
- Farmers Branch, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMATUS HOSPICE AND PALLIATIVE CARE LLC
- Practice address
- 2010 Valley View LN Ste 210
Farmers Branch, TX 75234-8915 - Phone
- (972) 249-4999
- Fax
- (972) 468-6991
- NPI assigned
- Jun 15, 2017
- Last updated
- Jul 21, 2022
- 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
- Saji Raju
- Title
- Administrator
- Phone
- (972) 249-4999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2010 Valley View LN Ste 210
Farmers Branch, TX 75234-8915
Mailing address
2010 Valley View LN Ste 210
Farmers Branch, TX 75234-8915
Phone (972) 249-4999
Other practice location 1
2410 Luna rd #141
Carrollton, TX 75006
Phone (214) 244-6801
Other practice location 2
2735 Villa Creek Dr Ste 286
Dallas, TX 75234
Phone (972) 249-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180124003410 | TX | Part A Provider - Hospice | 4385903186 | Practice locations: Farmers Branch, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013447614. Details of each certification follow.
Hospice certification: CCN 741737
- Legal name
- AMATUS HOSPICE AND PALLIATIVE CARE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 14, 2018
- Last certification
- Apr 15, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Apr 6, 2017 in TX
- Enrollment address
- 2010 Valley View LN
Ste 210
Farmers Branch, TX 75234-8915
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amatus Hospice and Palliative Care LLC
- Ownership
- For-Profit
- Certified
- Jun 14, 2018
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2138587 | Amatus Hospice & Palliative Care, LLC | Certificate of waiver | Oct 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
2410 Luna Rd
#141
Carrollton, TX 75006
Phone (214) 244-6801
2735 Villa Creek Dr
Ste 286
Dallas, TX 75234
Phone (972) 249-4999
2010 Valley View Ln
Ste 210
Farmers Branch, TX 75234
Phone (972) 249-4999
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Jeffery C Bates | Contracted Managing Employee | Mar 15, 2021 | |
| Deepa R Moparty | 5% Or Greater Direct Ownership Interest | Sep 4, 2019 | 33.3% |
| Corporate Director | Sep 4, 2019 | 33.3% | |
| Operational/Managerial Control | Sep 4, 2019 | 33.3% | |
| Saji Raju | 5% Or Greater Direct Ownership Interest | Sep 4, 2019 | 33.35% |
| Corporate Director | Sep 4, 2019 | 33.35% | |
| Operational/Managerial Control | Sep 4, 2019 | 33.35% | |
| Dillon K Mathew | 5% Or Greater Direct Ownership Interest | Sep 4, 2019 | 33.35% |
| Corporate Director | Sep 4, 2019 | 33.35% | |
| Operational/Managerial Control | Sep 4, 2019 | 33.35% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Gatesville, TX
- NPI 1134215643
Contracted Managing Employee
-
- Internal Medicine Physician
- Plano, TX
- NPI 1093914962
5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1093914962
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": "1497484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1013447614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 VALLEY VIEW LN STE 210",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752348915",
"telephone_number": "972-249-4999",
"fax_number": "972-468-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 VALLEY VIEW LN STE 210",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752348915",
"telephone_number": "972-249-4999",
"fax_number": "972-468-6991"
}
],
"practiceLocations": [
{
"address_1": "2410 Luna rd #141",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "75006",
"country_code": "US",
"telephone_number": "214-244-6801",
"fax_number": "214-432-6145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2735 Villa Creek Dr Ste 286",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75234",
"country_code": "US",
"telephone_number": "972-249-4999",
"fax_number": "972-468-6991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMATUS HOSPICE AND PALLIATIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-15",
"last_updated": "2022-07-21",
"certification_date": "2021-07-04",
"status": "A",
"authorized_official_last_name": "RAJU",
"authorized_official_first_name": "SAJI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-249-4999"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.