Organization Active NPI

Breeze Hospice LLC

  • Community Based Hospice Care Agency
  • Mesquite, TX
National Provider Identifier
1669125183
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BREEZE HOSPICE LLC
Practice address
3939 US Highway 80 E Ste 239B
Mesquite, TX 75150-3348
Phone
(214) 258-6072
Fax
(214) 258-6535
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Mrs. Achamma ZachariaNPI 1942446653
Title
Owner
Phone
(214) 810-2509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3939 US Highway 80 E Ste 239B
Mesquite, TX 75150-3348

Mailing address

3939 US Highway 80 E Ste 239B
Mesquite, TX 75150-3348
Phone (214) 258-6072

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BREEZE_HOSPICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221111002386 TX Part A Provider - Hospice 4284001710 Practice locations: Mesquite, TX

Hospice certification: CCN A91639

Legal name
BREEZE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 2, 2023
Last certification
May 11, 2023
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
3939 US Highway 80 E
Suite 239B
Mesquite, TX 75150-3359

Care Compare: Hospice

Medicare Care Compare
Listed as
Breeze Hospice LLCCCN A91639
Certified
Jun 2, 2023
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
45D2266115Breeze Hospice, LLC3939 US Highway 80 E Suite 239B, Mesquite, TX 75150Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

2665 Villa Creek Dr
Ste 206B
Farmers Branch, TX 75234
Phone (214) 810-2509

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Achamma Zacharia Individual 5% Or Greater Direct Ownership InterestOwner Jan 2, 2025 51%
Operational/Managerial ControlOwner Oct 1, 2022 100%
Nainan Anjilimoothil Individual 5% Or Greater Direct Ownership InterestOwner-Director Jan 2, 2025 49%
Corporate OfficerAdministrator Jan 2, 2025 100%
W-2 Managing EmployeeAd; Jan 2, 2025 100%
Darius Peikari Individual Contracted Managing EmployeeMD; Jan 10, 2025 100%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1669125183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 239B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503348",
            "telephone_number": "214-258-6072",
            "fax_number": "214-258-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 239B",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503348",
            "telephone_number": "214-258-6072",
            "fax_number": "214-258-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "ZACHARIA",
        "authorized_official_first_name": "ACHAMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-810-2509",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BREEZE_HOSPICE",
            "affiliation": "N",
            "address_1": "2665 Villa Creek Dr Ste 206B",
            "city": "Farmers Branch",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752347337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.