Active NPI
Breeze Hospice LLC
- Community Based Hospice Care Agency
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Achamma Zacharia
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | BREEZE_HOSPICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 3939 US Highway 80 E
Suite 239B
Mesquite, TX 75150-3359
Care Compare: Hospice
Medicare Care Compare- Listed as
- Breeze Hospice LLC
- Certified
- Jun 2, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2266115 | Breeze Hospice, LLC | Certificate of waiver | Aug 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Achamma Zacharia | 5% Or Greater Direct Ownership Interest | Jan 2, 2025 | 51% |
| Operational/Managerial Control | Oct 1, 2022 | 100% | |
| Nainan Anjilimoothil | 5% Or Greater Direct Ownership Interest | Jan 2, 2025 | 49% |
| Corporate Officer | Jan 2, 2025 | 100% | |
| W-2 Managing Employee | Jan 2, 2025 | 100% | |
| Darius Peikari | Contracted Managing Employee | 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.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1275590077
Contracted Managing Employee
-
- Nurse Practitioner
- Dallas, TX
- NPI 1942446653
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Dallas, TX
- NPI 1942446653
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.