Amici Hospice LLC
Organization Active NPI Community Based Hospice Care Agency · Houston, TX
NPI 1437812997 · NPPES record last updated Jul 14, 2026
Key facts
- NPI
- 1437812997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- AMICI HOSPICE LLC
- Practice address
- 1322 Space Park Dr Ste C145
Houston, TX 77058-3542 - Phone
- (281) 393-9030
- Fax
- (281) 476-7779
- NPI assigned
- Oct 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Liezel Dunn
- Title
- Ceo
- Phone
- (281) 393-9030
Owners & managing parties with NPI records 1
-
Rubin M Simon, MD
Medicare Care Compare: Hospice
- Listed as
- Amici Hospice LLC
- Certified
- Jul 2, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2335135 | Amici Hospice LLC | Certificate of waiver | Dec 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospice certification: CCN A91773
- Legal name
- AMICI HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 2, 2025
- Last certification
- Jul 23, 2025
- Ownership / control type
- Other
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1322 Space Park Dr
Ste C145
Houston, TX 77058-3542
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy M Vangundy |
Contracted Managing Employee |
Jul 31, 2025 | |
| Liezel Dunn |
5% Or Greater Direct Ownership Interest | Nov 11, 2021 | 100% |
| Corporate Officer |
Nov 11, 2021 | 100% | |
| Corporate Director |
Nov 11, 2021 | 100% | |
| W-2 Managing Employee |
Nov 11, 2021 | ||
| Tamalia Meadows |
W-2 Managing Employee |
Mar 9, 2026 | |
| Rubin M Simon |
Contracted Managing Employee |
May 26, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220813000533 | TX | Part a Provider - Hospice | 0648653394 | Practice locations: Houston, TX |
National Provider Directory
Locations
1322 Space Park Dr
Ste C145
Houston, TX 77058
Phone (832) 864-3347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
1322 Space Park Dr Ste C145
Houston, TX 77058-3542
Mailing address
8609 W Ruth Ave
Peoria, AZ 85345-7898
Phone (281) 393-9030
Other providers in Houston, TX
- Amiable Health Support LLC
- Amiable Healthcare LLC
- Amicable Assistance
- Amicable Healthcare Hospice Inc
- Amich Hospice, Inc.
- Amico DX LLC
- Dedra Amie
- Rose Marie Amie
- Gilad Eliahu Amiel
- Amigo Dental, DDS, PA
All providers in Houston, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.