Active NPI
Infinite Health Care Service LLC
Doing business as divine roses hospice
- Community Based Hospice Care Agency
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- INFINITE HEALTH CARE SERVICE LLC
- Doing business as
- divine roses hospice
- Practice address
- 3000 Keller Springs Rd Ste 406
Carrollton, TX 75006-4891 - Phone
- (972) 695-6455
- Fax
- (972) 984-7967
- NPI assigned
- Dec 18, 2019
- Last updated
- Jul 25, 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
- Amina Sultan
- Title
- Administrator
- Phone
- (972) 979-2033
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
3000 Keller Springs Rd Ste 406
Carrollton, TX 75006-4891
Mailing address
3000 Keller Springs Rd Ste 406
Carrollton, TX 75006-4891
Other names 1
- divine roses hospice
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bella.m@northtxbest.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201111001912 | TX | Part A Provider - Hospice | 1951711472 | Practice locations: Carrollton, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1255979407. Details of each certification follow.
Hospice certification: CCN 971738
- Legal name
- INFINITE HEALTHCARE SERVICE LLC
- Doing business as
- DIVINÈ ROSES HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 19, 2021
- Last certification
- Oct 19, 2021
- Ownership / control type
- Other
- Organization structure
- LLC
- Incorporated
- Dec 11, 2019 in TX
- Enrollment address
- 3000 Keller Springs Rd
Ste 406
Carrollton, TX 75006-4891
Care Compare: Hospice
Medicare Care Compare- Listed as
- Divin Roses Hospice Care
- Ownership
- Other
- Certified
- Oct 19, 2021
- 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 |
|---|---|---|---|
| 45D2213883 | Divine Roses Hospice | Certificate of waiver | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
3000 Keller Springs Rd
#406A
Carrollton, TX 75006
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Amina Sultan | 5% Or Greater Direct Ownership Interest | Dec 18, 2019 | 100% |
| Corporate Officer | Dec 18, 2019 | 100% | |
| W-2 Managing Employee | Dec 18, 2019 | 100% | |
| Operational/Managerial Control | Jun 23, 2020 | 50% | |
| Marballa Mojica | Contracted Managing Employee | Dec 19, 2019 | 100% |
| W-2 Managing Employee | Dec 19, 2019 | 100% | |
| Operational/Managerial Control | Jun 23, 2020 | 50% |
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Oxford Manor Health Center | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Oxford Health Center
- Skilled Nursing Facility
- Oxford, PA
- NPI 1598759748
Adp of the SNF
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.
-
- Community Based Hospice Care Agency
- Frisco, TX
- NPI 1992343149
Hospice Care, Community Based
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": "1576627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1255979407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 KELLER SPRINGS RD STE 406",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750064891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 KELLER SPRINGS RD STE 406",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750064891",
"telephone_number": "972-695-6455",
"fax_number": "972-984-7967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITE HEALTH CARE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-18",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A",
"authorized_official_last_name": "SULTAN",
"authorized_official_first_name": "AMINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-979-2033"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bella.m@northtxbest.com",
"affiliation": "N",
"address_1": "3000 Keller Springs Rd Ste 406",
"city": "Carrollton",
"state": "TX",
"country_code": "US",
"postal_code": "750064891",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "divine roses hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "divine roses hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.