Organization Active NPI

Amary Comfort Care, Inc.

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1144818428
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jan 4, 2021

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)CodeLicenseStatePrimary
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. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN A91580
Certified
Feb 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2230190Amary Comfort Care, Inc10518 Kipp Way Drive Suite B-1, Houston, TX 77099Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Susan Santos Individual Corporate Officer Aug 23, 2021 100%
Corporate Director Aug 23, 2021 100%
Lilibeth Williamson Individual Corporate Director Aug 23, 2021 20%
W-2 Managing Employee Aug 23, 2021
Maricar P Euceda Individual W-2 Managing Employee Aug 31, 2020
Operational/Managerial Control Aug 31, 2020
Henry Santos Individual 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

Verify at the official NPI Registry.