Omegalife Hospice of Texas, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OMEGALIFE HOSPICE OF TEXAS, INC.

Practice address

5625 Cypress Creek Pkwy Ste 418
Houston, TX 77069-4207

Phone

(832) 912-5927

Fax

(832) 912-5928

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Joaquin C Diaz

Title

Ceo

Phone

(469) 518-5508

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741590

Legal name

OMEGALIFE HOSPICE OF TEXAS INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 7, 2015

Last certification

Dec 10, 2021

Ownership / control type

Other

Organization structure

CorporationProprietary

Incorporated

Sep 13, 2013 in TX

Enrollment address

5625 Cypress Creek Pkwy
Ste 601a
Houston, TX 77069-4213

Listed as

Omegalife Hospice of Texas IncCCN 741590

Ownership

Other

Certified

Sep 7, 2015

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mohammad I Siddiqi, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1194715326

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1538599147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 CYPRESS CREEK PKWY STE 418",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694207",
            "telephone_number": "832-912-5927",
            "fax_number": "832-912-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 CYPRESS CREEK PKWY STE 418",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694207",
            "telephone_number": "832-912-5927",
            "fax_number": "832-912-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGALIFE HOSPICE OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JOAQUIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-518-5508"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayman Omara, M.D.
• Omega 1 DME LLC
• Omega Dentistry Management Group Inc.
• Omega Home Health Services Inc.
• Omega Rules Professional Nurses PLLC
• Theclar Chika Omeh, NP
• Mohammed Omeishi, DMD
• Audrey Omenson, M.A., LPC
• Anam Omer
• Bilal Omer, MD

• Community Based Hospice Care Agency in Houston, TX
• Providers in Houston, 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 Dec 30, 2024; 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.