Active NPI
Cbji Home Care, LLC
Doing business as Amara Hospice
- Inpatient Hospice
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- License
- 013335
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- in TX
- Enrollment address
- 505 W Owassa Rd
Edinburg, TX 78539-2114
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amara Hospice
- Ownership
- For-Profit
- Certified
- Mar 8, 2011
- 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 |
|---|---|---|---|
| 45D2054207 | Cbji Homecare LLC Dba Amara Hospice | Certificate of waiver | Feb 14, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Isaac Tawil | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.