Amaya Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMAYA HOSPICE LLC

Practice address

8500 N Stemmons Fwy Ste 5054
Dallas, TX 75247-3955

Phone

(209) 499-8634

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Jan FloresNPI 1497216543

Title

VP/Sec

Phone

(310) 408-3135

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91754

Legal name

AMAYA HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 20, 2024

Last certification

Aug 29, 2024

Organization structure

LLCProprietary

Incorporated

May 2, 2023 in TX

Enrollment address

8500 N Stemmons Fwy
Ste 5054
Dallas, TX 75247-3955

Listed as

Amaya Hospice LLCCCN A91754 · All quality measures

Certified

Sep 20, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mohammed S Iqbal, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Mansfield, TX
  • NPI 1902009780

  W-2 Managing Employee

  CMS ownership

Practitioners 1

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

• Jan Frances Flores

  • Physical Therapist
  • Stockton, CA
  • NPI 1497216543
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1528757242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 G ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542450",
            "telephone_number": "209-499-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N STEMMONS FWY STE 5054",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473955",
            "telephone_number": "209-499-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAYA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "VP/SEC",
        "authorized_official_telephone_number": "310-408-3135"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Roxana Amaro, MD
• Anthony Charles Amato-Watkins, MD, FRCS
• James Francis Amatruda, MD PHD
• Onyekachim Amauwah, PTA
• Olga Del Pilar Amaya Gomez
• Joshua Amaya, MD
• Sabrina Amaya
• Amaysing Day Center (Amaysing Adult Day Center)
• Daniel Amazigo
• Amazing & Blessed Home Health Services Inc

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.

Verify at the official NPI Registry.