Organization Active NPI

Cbji Home Care, LLC

Doing business as Amara Hospice

  • Inpatient Hospice
  • Edinburg, TX
National Provider Identifier
1508197716
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
013335 Issued in TX
Legal business name
CBJI HOME CARE, LLC
Doing business as
Amara Hospice
Practice address
505 W Owassa
Edinburg, TX 78539-7062
Phone
(956) 283-1550
NPI assigned
Jan 28, 2010
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Mr. Isaac J Tawil
Title
President
Phone
(956) 283-1550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Inpatient Hospice 315D00000X 013335 TX Primary

Addresses

Primary practice location

505 W Owassa
Edinburg, TX 78539-7062

Mailing address

505 W Owassa Rd
Edinburg, TX 78539-7062
Phone (956) 283-1550

Other names 1

  • Amara Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100729000361 TX Part A Provider - Hospice 1951434877 Practice locations: Edinburg, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508197716. Details of each certification follow.

Hospice certification: CCN 671671

Legal name
CBJI HOME CARE, LLC
Doing business as
AMARA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 8, 2011
Last certification
Feb 7, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
in TX
Enrollment address
505 W Owassa Rd
Edinburg, TX 78539-2114

Care Compare: Hospice

Medicare Care Compare
Listed as
Amara HospiceCCN 671671 · All quality measures
Ownership
For-Profit
Certified
Mar 8, 2011
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
45D2054207Cbji Homecare LLC Dba Amara Hospice505 W Owassa Rd, Edinburg, TX 78539Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Isaac Tawil Individual 5% Or Greater Direct Ownership Interest Jun 2, 2010
Operational/Managerial Control Jun 2, 2010

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1508197716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W OWASSA RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397062",
            "telephone_number": "956-283-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W OWASSA",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397062",
            "telephone_number": "956-283-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBJI HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "TAWIL",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-283-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TX",
            "license": "013335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amara Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.