Active NPI
Zill Holding Inc
Doing business as Amen Hospice
- Community Based Hospice Care Agency
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ZILL HOLDING INC
- Doing business as
- Amen Hospice
- Practice address
- 415 Woodline Dr Ste 1a
Spring, TX 77386-1977 - Phone
- (832) 289-9514
- Fax
- (281) 528-4099
- NPI assigned
- Nov 12, 2019
- Organization subpart
- Yes
- Parent organization
- ZILL HOLDINGS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saira Inayatali
- Title
- Cfo
- Phone
- (832) 289-9514
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary | ||
| Inpatient Hospice | 315D00000X |
Addresses
Primary practice location
415 Woodline Dr Ste 1a
Spring, TX 77386-1977
Mailing address
415 Woodline Drive
Spring, TX 77386
Phone (832) 289-9514
Other names 1
- Amen Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200416004004 | TX | Part A Provider - Hospice | 9234569161 | Practice locations: Spring, TX |
Hospice certification: CCN 971574
- Legal name
- ZILL HOLDING INC
- Doing business as
- AMEN HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 19, 2020
- Last certification
- Jun 19, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 22, 2019 in TX
- Enrollment address
- 415 Woodline Dr
Ste 1a
Spring, TX 77386-1977
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amen Hospice
- Ownership
- For-Profit
- Certified
- Jun 19, 2020
- 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 |
|---|---|---|---|
| 45D2176587 | Zill Holdings Inmc D/B/a Amen Hospice | Certificate of waiver | Dec 17, 2027 |
| 45D2229950 | Asj Enterprise Inc Dba Amen Hospice | Certificate of waiver | Jul 18, 2027 |
National Provider Directory
National Provider Directory- Part of
- Zill Holding Inc
Locations
415 Woodline Dr
Spring, TX 77386
Phone (281) 528-4100
415 Woodline Dr
Ste 1A
Spring, TX 77386
Phone (832) 289-9514
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Saira Inayatali | 5% Or Greater Direct Ownership Interest | Oct 22, 2019 | 34% |
| Corporate Officer | Oct 22, 2019 | 34% | |
| W-2 Managing Employee | Oct 22, 2019 | 34% | |
| Dennis Ratemo | 5% Or Greater Direct Ownership Interest | Oct 22, 2019 | 33% |
| Corporate Officer | Oct 22, 2019 | 33% | |
| W-2 Managing Employee | Oct 22, 2019 | 33% | |
| Abbas H Jafri | Contracted Managing Employee | Oct 22, 2019 | |
| 5% Or Greater Direct Ownership Interest | Oct 22, 2019 | 33% | |
| Corporate Officer | Oct 22, 2019 | 33% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Spring, TX
- NPI 1891798161
5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Officer
-
- Family Nurse Practitioner
- Cypress, TX
- NPI 1538566708
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Cypress, TX
- NPI 1538566708
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": "1573516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1356986590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 WOODLINE DRIVE",
"city": "SPRING",
"state": "TX",
"postal_code": "77386",
"telephone_number": "832-289-9514",
"fax_number": "281-528-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 WOODLINE DR STE 1A",
"city": "SPRING",
"state": "TX",
"postal_code": "773861977",
"telephone_number": "832-289-9514",
"fax_number": "281-528-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZILL HOLDING INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ZILL HOLDINGS INC",
"enumeration_date": "2019-11-12",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "INAYATALI",
"authorized_official_first_name": "SAIRA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "832-289-9514"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amen Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.