Organization Active NPI

Ameriprime Hospice LLC.

  • Community Based Hospice Care Agency
  • Richardson, TX
National Provider Identifier
1598182685
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMERIPRIME HOSPICE LLC.
Practice address
275 W Campbell Rd Ste 325a
Richardson, TX 75080-3601
Phone
(800) 899-9790
Fax
(877) 512-6442
NPI assigned
Mar 26, 2014
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Ewurama Abaka-Sampson
Title
Administrator
Phone
(800) 899-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

275 W Campbell Rd Ste 325a
Richardson, TX 75080-3601

Mailing address

275 W Campbell Rd Ste 325a
Richardson, TX 75080-3601
Phone (800) 899-9790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141112001836 TX Part A Provider - Hospice 9830311588 Practice locations: Richardson, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598182685. Details of each certification follow.

Hospice certification: CCN 741551

Legal name
AMERIPRIME HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 7, 2015
Last certification
Mar 1, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
275 W Campbell Rd
Ste 325a
Richardson, TX 75080-3601

Care Compare: Hospice

Medicare Care Compare
Listed as
Ameriprime Hospice LLCCCN 741551 · All quality measures
Ownership
For-Profit
Certified
Apr 7, 2015
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
45D2076729Ameriprime Hospice, LLC275 W Campbell Road Suite 325a, Richardson, TX 75080Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

275 W Campbell Rd
Ste 325A
Richardson, TX 75080
Phone (800) 899-9790

50 Business Pkwy
Ste 50B
Richardson, TX 75081

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
Ewurama Abaka-Sampson Individual 5% Or Greater Direct Ownership InterestDirect Owner Jan 30, 2024 100%
W-2 Managing EmployeeAdministrator Jan 30, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1598182685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD STE 325A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803601",
            "telephone_number": "800-899-9790",
            "fax_number": "877-512-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD STE 325A",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803601",
            "telephone_number": "800-899-9790",
            "fax_number": "877-512-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPRIME HOSPICE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "ABAKA-SAMPSON",
        "authorized_official_first_name": "EWURAMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-899-9790"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.