Active NPI
Dimalise LLC
- Community Based Hospice Care Agency
- Rosenberg, TX
National Provider Identifier
1780340778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- DIMALISE LLC
- Practice address
- 606 Coldstone CT
Rosenberg, TX 77469-4989 - Phone
- (832) 483-7689
- NPI assigned
- Nov 13, 2021
- 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
- Evonne Manga
- Title
- Managing Member
- Phone
- (832) 483-7689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
606 Coldstone CT
Rosenberg, TX 77469-4989
Mailing address
606 Coldstone CT
Rosenberg, TX 77469-4989
Phone (832) 483-7689
Other names 1
- Dimalise Palliative & Hospice Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220907003044 | TX | Part A Provider - Hospice | 9830573013 | Practice locations: Rosenberg, TX |
Hospice certification: CCN E21512
- Legal name
- DIMALISE LLC
- Doing business as
- DIMALISE PALLIATIVE AND HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 8, 2026
- Last certification
- Mar 19, 2026
- Ownership / control type
- Proprietary - Individual
- Organization structure
- LLC
- Incorporated
- Jul 12, 2021 in TX
- Enrollment address
- 606 Coldstone CT
Rosenberg, TX 77469-4989
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 |
|---|---|---|---|
| 45D2266741 | Dimalise Palliative and Hospice Care | Certificate of waiver | Aug 14, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Shanna Ashberry | W-2 Managing Employee | Jul 12, 2021 | 25% |
| Remy W Zockazock | Contracted Managing Employee | Sep 9, 2022 | |
| Evonne Manga | 5% Or Greater Direct Ownership Interest | Jul 12, 2021 | 100% |
| Corporate Director | Jul 12, 2021 | 100% | |
| W-2 Managing Employee | Jul 12, 2021 | 75% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Katy, TX
- NPI 1215381900
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1780340778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 COLDSTONE CT",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774694989",
"telephone_number": "832-483-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 COLDSTONE CT",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774694989",
"telephone_number": "832-483-7689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIMALISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-13",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A",
"authorized_official_last_name": "MANGA",
"authorized_official_first_name": "EVONNE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "832-483-7689"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dimalise Palliative & Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.