Axel Hospice Care,LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AXEL HOSPICE CARE,LLC

Practice address

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

Phone

(214) 396-6565

Fax

(214) 396-6555

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Suma C Jacob

Title

Secretary

Phone

(214) 680-6161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741743

Legal name

AXEL HOSPICE CARE,LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 11, 2018

Last certification

Aug 18, 2021

Ownership / control type

Other

Organization structure

LLCProprietary

Enrollment address

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

Listed as

Axel Hospice Care LLCCCN 741743 · All quality measures

Ownership

Other

Certified

Jul 11, 2018

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Maria Pharah Ambalong, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1285660076

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Maria Pharah Ambalong, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1285660076

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1336518257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E ARAPAHO RD STE 236",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812453",
            "telephone_number": "214-396-6565",
            "fax_number": "214-396-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E ARAPAHO RD STE 236",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812453",
            "telephone_number": "214-396-6565",
            "fax_number": "214-396-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXEL HOSPICE CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SUMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "214-680-6161"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 24, 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.