Active NPI
Angel Care Plus Hospice, LLC
Doing business as Angel Care Hospice
- Community Based Hospice Care Agency
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ANGEL CARE PLUS HOSPICE, LLC
- Doing business as
- Angel Care Hospice
- Practice address
- 1350 E Arapaho Rd Ste 207
Richardson, TX 75081-2453 - Phone
- (972) 301-5600
- Fax
- (972) 301-5606
- NPI assigned
- Jul 12, 2011
- Last updated
- Aug 31, 2023
- 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
- Mr. Mathew Korah
- Title
- Vice President
- Phone
- (972) 301-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1350 E Arapaho Rd Ste 207
Richardson, TX 75081-2453
Mailing address
1350 E Arapaho Rd Ste 207
Richardson, TX 75081-2453
Phone (972) 301-5600
Other names 1
- Angel Care 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 |
|---|---|---|---|---|
| O20120806000869 | TX | Part A Provider - Hospice | 1951557008 | Practice locations: Richardson, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720376650. Details of each certification follow.
Hospice certification: CCN 671675
- Legal name
- ANGEL CARE PLUS HOSPICE LLC
- Doing business as
- ANGEL CARE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 17, 2011
- Last certification
- Jun 18, 2021
- Ownership / control type
- Other
- Organization structure
- LLC
- Enrollment address
- 1350 E Arapaho Rd
Ste 207
Richardson, TX 75081-2453
Care Compare: Hospice
Medicare Care Compare- Listed as
- Angel Care Hospice
- Ownership
- For-Profit
- Certified
- Mar 17, 2011
- 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 |
|---|---|---|---|
| 45D2002308 | Angel Care Plus Hospice, LLC | Certificate of waiver | Jan 12, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Dee L Martinez | 5% Or Greater Direct Ownership Interest | Apr 1, 2012 | 10% |
| Elsy J Benjamin | W-2 Managing Employee | Jan 25, 2021 | |
| Mathew Korah | 5% Or Greater Direct Ownership Interest | Apr 1, 2012 | 15% |
| Corporate Director | Apr 1, 2012 | ||
| W-2 Managing Employee | Apr 1, 2012 | ||
| Patience U Uche | W-2 Managing Employee | Jun 16, 2020 | |
| Suma C Jacob | 5% Or Greater Direct Ownership Interest | Apr 1, 2017 | 75% |
| Corporate Officer | Jan 3, 2017 | ||
| W-2 Managing Employee | Jan 3, 2017 | ||
| Syed M a Jamal | Contracted Managing Employee | Jan 1, 2023 |
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Jacksboro, TX
- NPI 1437157419
Contracted Managing Employee
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1437158581
5% Or Greater Direct Ownership Interest
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1720376650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 E ARAPAHO RD STE 207",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812453",
"telephone_number": "972-301-5600",
"fax_number": "972-301-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E ARAPAHO RD STE 207",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812453",
"telephone_number": "972-301-5600",
"fax_number": "972-301-5606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL CARE PLUS HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "KORAH",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "972-301-5600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angel Care Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Angel Care Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Stephanie Marie Andrews, PHARM.D., RPH
- Vanessa J Andrews
- Anesthesia Partners of Arizona LLC
- Aparna Angadi, DDS
- Angels of Care Home Health, Incorporated
- Angels Providing Care Staffing LLC (Angles Providing Care)
- Frances Ifeyinwa Aniakor, NP
- Lydia Animos
- Anna Felsl Psychological Services PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.