Active NPI
Dunamis Hospice and Palliative Care Inc
- Community Based Hospice Care Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
- Last updated
- Sep 25, 2023
- Organization subpart
- Yes
- Parent organization
- DUNAMIS HOSPICE AND PALLIATIVE CARE INC
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221013001179 | TX | Part A Provider - Hospice | 2062888209 | Practice locations: Houston, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1841922945. Details of each certification follow.
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
- Corporation
- 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 Inc
- Certified
- Nov 1, 2023
- Medicare certification status
- Active
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hameed Ali | Contracted Managing Employee | Jun 1, 2023 | |
| Quiana Johnson | Operational/Managerial Control | Jun 1, 2023 | |
| Chioma Destiny Samuel | 5% Or Greater Direct Ownership Interest | Dec 5, 2025 | 10% |
| Delphina C Mitima-Samuel | 5% Or Greater Direct Ownership Interest | Jun 17, 2022 | 90% |
| Corporate Officer | Jun 17, 2022 | ||
| Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Temple, TX
- NPI 1104974955
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric Pharmacist
- Missouri City, TX
- NPI 1427058346
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.