Organization Active NPI

Zill Holding Inc

Doing business as Amen Hospice

  • Community Based Hospice Care Agency
  • Spring, TX
National Provider Identifier
1356986590
Registry record updated Jun 5, 2024
On this page

Key facts

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

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HospiceCCN 971574 · All quality measures
Ownership
For-Profit
Certified
Jun 19, 2020
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
45D2176587Zill Holdings Inmc D/B/a Amen Hospice415 Woodline Drive #1a, Spring, TX 77386Certificate of waiverDec 17, 2027
45D2229950Asj Enterprise Inc Dba Amen Hospice415 Woodline Drive Suite 1C, Spring, TX 77386Certificate of waiverJul 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.

NameRoleSinceShare
Saira Inayatali Individual 5% Or Greater Direct Ownership InterestCfo/Owner Oct 22, 2019 34%
Corporate OfficerCfo Oct 22, 2019 34%
W-2 Managing EmployeeAd;Cfo Oct 22, 2019 34%
Dennis Ratemo Individual 5% Or Greater Direct Ownership InterestAlternate Administrator Oct 22, 2019 33%
Corporate OfficerSecretary Oct 22, 2019 33%
W-2 Managing EmployeeAlternate Administrator Oct 22, 2019 33%
Abbas H Jafri Individual Contracted Managing EmployeeMD; Oct 22, 2019
5% Or Greater Direct Ownership InterestOwner/Ceo Oct 22, 2019 33%
Corporate OfficerCeo 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.