Organization Active NPI

Amerihealth Group Inc

Doing business as Ameri Hospice

  • Community Based Hospice Care Agency
  • Plano, TX
National Provider Identifier
1679853881
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMERIHEALTH GROUP INC
Doing business as
Ameri Hospice
Practice address
5068 W Plano Pkwy Ste 295
Plano, TX 75093-4473
Phone
(972) 499-4757
Fax
(469) 965-9727
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Mansoor Ahmed Kazi, F.N.P -C
Title
Director
Phone
(972) 900-0207

Specialties & licenses 1

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

Addresses

Primary practice location

5068 W Plano Pkwy Ste 295
Plano, TX 75093-4473

Mailing address

5068 W Plano Pkwy Ste 295
Plano, TX 75093-4473
Phone (972) 499-4757

Other names 1

  • Ameri Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151016002382 TX Part A Provider - Hospice 9638488422 Practice locations: Plano, TX

Hospice certification: CCN 741651

Legal name
AMERIHEALTH GROUP INC
Doing business as
AMERI HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 23, 2016
Last certification
Nov 7, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 16, 2011 in TX
Enrollment address
5068 W Plano Pkwy
Ste 295
Plano, TX 75093-4473

Care Compare: Hospice

Medicare Care Compare
Listed as
Ameri HospiceCCN 741651 · All quality measures
Ownership
For-Profit
Certified
Dec 23, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5068 W Plano Pkwy
Ste 295
Plano, TX 75093
Phone (972) 316-7677

50 Business Pkwy
Ste F2
Richardson, TX 75081
Phone (877) 786-0099

275 W Campbell Rd
Ste 325B
Richardson, TX 75080
Phone (877) 786-0099

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Mansoor Kazi Individual 5% Or Greater Direct Ownership Interest Aug 17, 2011 100%
Corporate DirectorPresident/Director Jun 11, 2015
W-2 Managing EmployeeAdministrator &Supv. Nurse Jun 11, 2015
Bilal Mustafa Individual Contracted Managing EmployeeMD; Jul 26, 2017
Israr Khan Individual W-2 Managing EmployeeAlternate Administrator Mar 1, 2020
Narcisa Viterbo Individual W-2 Managing EmployeeAlt. Supv. Nurse Jun 11, 2015

Owners & managing parties with NPI records 1

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": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1679853881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY STE 295",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934473",
            "telephone_number": "972-499-4757",
            "fax_number": "469-965-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY STE 295",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934473",
            "telephone_number": "972-499-4757",
            "fax_number": "469-965-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIHEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-900-0207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "F.N.P -C"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameri Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ameri Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.