Amazing Hands Palliative Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMAZING HANDS PALLIATIVE HOSPICE LLC

Practice address

1405 Lilac Dr N Ste 250C
Golden Valley, MN 55422-4509

Phone

(832) 350-2573

NPI assigned

Feb 4, 2022

Last updated

Sep 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jestina Bangura

Title

Ceo

Phone

(952) 254-6695

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538813969. Details of each certification follow.

• CCN 241627 Hospice · Active · Details

Hospice certification: CCN 241627

Legal name

AMAZING HANDS PALLIATIVE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 2, 2024

Last certification

Oct 2, 2024

Organization structure

LLCProprietary

Incorporated

Jun 16, 2021 in MN

Enrollment address

1405 Lilac Dr N
Ste 250C
Golden Valley, MN 55422-4535

Listed as

Amazing Hands PalliativeCCN 241627 · All quality measures

Certified

Oct 2, 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.

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1538813969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST STE B-40H",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022564",
            "telephone_number": "952-254-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 250C",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224509",
            "telephone_number": "832-350-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HANDS PALLIATIVE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "JESTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-254-6695"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.