Organization Active NPI

Dunamis Hospice and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1841922945
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DUNAMIS HOSPICE AND PALLIATIVE CARE INC
Practice address
6401 Southwest Fwy Ste 200
Houston, TX 77074-2205
Phone
(409) 350-6187
Fax
(346) 577-8800
NPI assigned
Jun 28, 2022
Organization subpart
Yes
Parent organization
DUNAMIS HOSPICE AND PALLIATIVE CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Dr. Delphina Chikamele Mitima-Samuel, PHARMD
Title
President
Phone
(409) 350-8167

Specialties & licenses 1

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

Addresses

Primary practice location

6401 Southwest Fwy Ste 200
Houston, TX 77074-2205

Mailing address

6401 Southwest Fwy Ste 200
Houston, TX 77074-2205
Phone (409) 350-8167

Other practice location 1

9727 McKinney Ln
Missouri City, TX 77459-6344
Phone (409) 350-8167

Other names 1

  • DUNAMIS HOSPICE AND PALLIATIVE CARE INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221013001179 TX Part A Provider - Hospice 2062888209 Practice locations: Houston, TX

Hospice certification: CCN A91686

Legal name
DUNAMIS HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 1, 2023
Last certification
Nov 1, 2023
Organization structure
CorporationProprietary
Incorporated
Jun 17, 2022 in TX
Enrollment address
6401 Southwest Fwy
Ste 200
Houston, TX 77074-2205

Care Compare: Hospice

Medicare Care Compare
Listed as
Dunamis Hospice and Palliative Care IncCCN A91686 · All quality measures
Certified
Nov 1, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Dunamis Hospice and Palliative Care Inc

Locations

6401 Southwest Fwy
Ste 200
Houston, TX 77074
Phone (346) 763-9546

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
Hameed Ali Individual Contracted Managing EmployeeMD; Jun 1, 2023
Quiana Johnson Individual Operational/Managerial ControlAlternate Administrator Jun 1, 2023
Chioma Destiny Samuel Individual 5% Or Greater Direct Ownership InterestOwner/Vice President Dec 5, 2025 10%
Delphina C Mitima-Samuel Individual 5% Or Greater Direct Ownership InterestOwner/Coo/Board Member Jun 17, 2022 90%
Corporate Officer Jun 17, 2022
Operational/Managerial ControlOwner/Coo Jun 17, 2022 90%

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": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1841922945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742205",
            "telephone_number": "409-350-8167",
            "fax_number": "281-741-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742205",
            "telephone_number": "409-350-6187",
            "fax_number": "346-577-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9727 McKinney Ln",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774596344",
            "country_code": "US",
            "telephone_number": "409-350-8167",
            "fax_number": "281-741-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUNAMIS HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUNAMIS HOSPICE AND PALLIATIVE CARE INC",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "MITIMA-SAMUEL",
        "authorized_official_first_name": "DELPHINA",
        "authorized_official_middle_name": "CHIKAMELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-350-8167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUNAMIS HOSPICE AND PALLIATIVE CARE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DUNAMIS HOSPICE AND PALLIATIVE CARE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.