Active NPI
Dunamis Hospice and Palliative Care Inc
- Community Based Hospice Care Agency
- Houston, TX
National Provider Identifier
1841922945
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
- 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
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 |
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
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.