Adira Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADIRA HOSPICE LLC

Practice address

1350 E Arapaho Rd Ste 236a
Richardson, TX 75081-2453

Phone

(972) 327-3399

Fax

(972) 327-3398

NPI assigned

May 19, 2022

Last updated

May 19, 2022By 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

Suma Jacob

Title

President

Phone

(972) 327-3399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023755022. Details of each certification follow.

• CCN A91651 Hospice · Active · Details

Hospice certification: CCN A91651

Legal name

ADIRA HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 5, 2023

Last certification

Aug 25, 2023

Organization structure

LLCProprietary

Enrollment address

1350 E Arapaho Rd
Ste 236a
Richardson, TX 75081-2453

Listed as

Adira Hospice LLCCCN A91651 · All quality measures

Certified

Sep 5, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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.

• Muzakeer Ahmed Shaik, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1114969300

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1023755022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E ARAPAHO RD STE 236A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812453",
            "telephone_number": "972-327-3399",
            "fax_number": "972-327-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E ARAPAHO RD STE 236A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812453",
            "telephone_number": "972-327-3399",
            "fax_number": "972-327-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SUMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-327-3399"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Lynn Adams, MS CCC
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• Sara Adams Addison, APN
• Gbadebo Adejuwon
• Zina Adi, LPC-ASSOCIATE
• Frances Carolyn Adkins, LPC, LMFT
• Advance Hospice Care of America, Inc
• Advanced Medequip and Supplies LTD
• Advanced Medical Associates, LLC
• Advanced OB-GYN Associates P.a.

• Community Based Hospice Care Agency in Richardson, TX
• Providers in Richardson, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.