Active NPI
Amary Comfort Care, Inc.
- Community Based Hospice Care Agency
- Houston, TX
National Provider Identifier
1144818428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMARY COMFORT CARE, INC.
- Doing business as
- Amary Comfort Care, inc.
- Practice address
- 10518 Kipp Way Dr Ste B1
Houston, TX 77099-2400 - Phone
- (832) 451-2596
- NPI assigned
- Jan 4, 2021
- 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
- Mrs. Maricar Primacio Euceda, PT ASSISTANT
- Title
- President
- Phone
- (832) 451-2596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
10518 Kipp Way Dr Ste B1
Houston, TX 77099-2400
Mailing address
10518 Kipp Way Dr Ste B1
Houston, TX 77099-2400
Phone (832) 451-2596
Other names 1
- Amary Comfort Care, inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220420000971 | TX | Part A Provider - Hospice | 1355738485 | Practice locations: Houston, TX |
Hospice certification: CCN A91580
- Legal name
- AMARY COMFORT CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 28, 2023
- Last certification
- Feb 2, 2023
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 31, 2020 in TX
- Enrollment address
- 10518 Kipp Way Dr
Ste A1
Houston, TX 77099-2400
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amary Comfort Care, Inc.
- Certified
- Feb 28, 2023
- 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 |
|---|---|---|---|
| 45D2230190 | Amary Comfort Care, Inc | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
10518 Kipp Way Dr
Ste B1
Houston, TX 77099
Phone (832) 288-4928
10518 Kipp Way Dr
Ste A1
Houston, TX 77099
Phone (281) 564-4503
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 |
|---|---|---|---|
| Susan Santos | Corporate Officer | Aug 23, 2021 | 100% |
| Corporate Director | Aug 23, 2021 | 100% | |
| Lilibeth Williamson | Corporate Director | Aug 23, 2021 | 20% |
| W-2 Managing Employee | Aug 23, 2021 | ||
| Maricar P Euceda | W-2 Managing Employee | Aug 31, 2020 | |
| Operational/Managerial Control | Aug 31, 2020 | ||
| Henry Santos | 5% Or Greater Direct Ownership Interest | Aug 31, 2020 | |
| Operational/Managerial Control | Aug 31, 2020 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609718400000",
"number": "1144818428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10518 KIPP WAY DR STE B1",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770992400",
"telephone_number": "832-451-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10518 KIPP WAY DR STE B1",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770992400",
"telephone_number": "832-451-2596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMARY COMFORT CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A",
"authorized_official_last_name": "EUCEDA",
"authorized_official_first_name": "MARICAR",
"authorized_official_middle_name": "PRIMACIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-451-2596",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT ASSISTANT"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amary Comfort Care, inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.