Iserve Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ISERVE HOSPICE LLC

Doing business as

iServe Hospice

Practice address

8111 Lyndon B Johnson Fwy Ste 450
Dallas, TX 75251-1313

Phone

(469) 379-2682

Fax

(469) 379-2681

NPI assigned

Aug 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas C Atumah, RN

Title

Owner

Phone

(214) 384-2949

Specialties & licenses 1

Addresses

Other names 1

• iServe Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971607

Legal name

ISERVE HOSPICE, LLC

Doing business as

ISERVE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 2, 2020

Last certification

Oct 2, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

8111 Lyndon B Johnson Fwy
Ste 450
Dallas, TX 75251-1313

Listed as

Iserve HospiceCCN 971607 · All quality measures

Ownership

For-Profit

Certified

Oct 2, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Elmer G Smith Jr., MD

  • Internal Medicine Physician
  • Bedford, TX
  • NPI 1699793992

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1285282608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "469-379-2682",
            "fax_number": "469-379-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY STE 450",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511313",
            "telephone_number": "469-379-2682",
            "fax_number": "469-379-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISERVE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "ATUMAH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-384-2949",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iServe Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iServe Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Isaradisaikul, MD
• Bereket Isayas
• Gerald Marshall Isbell III, M.D.
• Angel L. Iscovich, M.D.
• Bailey Marie Isenberg, FNP-C
• Makoto Ishii, M.D.
• Oladoyin Isiaka, PA-C, RRT
• Geina Iskander, MD
• Nazish Seed Islahi, MD
• Irtiza Sakif Islam

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, 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 Feb 9, 2023; 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.