Organization Active NPI

Dimalise LLC

  • Community Based Hospice Care Agency
  • Rosenberg, TX
National Provider Identifier
1780340778
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Mar 28, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Jul 12, 2021 in TX
Enrollment address
606 Coldstone CT
Rosenberg, TX 77469-4989

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2266741Dimalise Palliative and Hospice Care606 Coldstone CT, Rosenberg, TX 77469Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Shanna Ashberry Individual W-2 Managing EmployeeAlt Admin and Alt Don Jul 12, 2021 25%
Remy W Zockazock Individual Contracted Managing EmployeeMD; Sep 9, 2022
Evonne Manga Individual 5% Or Greater Direct Ownership InterestOwner Jul 12, 2021 100%
Corporate DirectorBoard Managing Member Jul 12, 2021 100%
W-2 Managing EmployeeAd;Director of Nurse 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.

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

Verify at the official NPI Registry.