NSN Group LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NSN GROUP LLC

Doing business as

Amity Hospice

Practice address

17311 Dallas Pkwy Ste 240
Dallas, TX 75248-1150

Phone

(972) 931-5400

Fax

(972) 931-5403

NPI assigned

May 3, 2011

Last updated

Aug 15, 2022By 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

Mrs. Saira Hasan, CMO

Title

Chief Management Officer

Phone

(972) 989-5469

Specialties & licenses 2

Addresses

Other names 1

• Amity Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679865141. Details of each certification follow.

• CCN 671707 Hospice · Active · Details

Hospice certification: CCN 671707

Legal name

NSN GROUP LLC

Doing business as

AMITY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 13, 2012

Last certification

Jul 15, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

17311 Dallas Pkwy
Ste 240
Dallas, TX 75248-1150

Listed as

Amity HospiceCCN 671707 · All quality measures

Ownership

Other

Certified

Feb 13, 2012

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

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

• Muhammad Akram Khan, MD, FACC, FSCAI

  • Cardiovascular Disease Physician
  • McKinney, TX
  • NPI 1356334031

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Sue Lee, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1356173421
  NPD
• Guna Raj, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1578676755
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mirza Shahbaz Hasan, M.D.

  • Infectious Disease Physician
  • Dallas, TX
  • NPI 1255369815

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1679865141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17311 DALLAS PKWY",
            "address_2": "STE# 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481141",
            "telephone_number": "972-931-5400",
            "fax_number": "972-931-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 DALLAS PKWY STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481150",
            "telephone_number": "972-931-5400",
            "fax_number": "972-931-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2022-08-15",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "CHIEF MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "972-989-5469",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMO"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amity Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.