Active NPI
Amber Hospice Care, LLC
- Community Based Hospice Care Agency
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMBER HOSPICE CARE, LLC
- Practice address
- 17000 Executive Plaza Dr Ste 207B
Dearborn, MI 48126-2793 - Phone
- (313) 730-8500
- Fax
- (313) 730-9172
- NPI assigned
- Apr 10, 2019
- Last updated
- Apr 14, 2025
- 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
- Inder Thawani
- Title
- Chief Executive Officer
- Phone
- (313) 730-8500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
17000 Executive Plaza Dr Ste 207B
Dearborn, MI 48126-2793
Mailing address
25500 Meadowbrook Rd Ste 240
Novi, MI 48375-1883
Phone (248) 579-2727
Other practice location 1
25500 Meadowbrook Rd Ste 240
Novi, MI 48375-1883
Phone (248) 579-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211209000788 | MI | Part A Provider - Hospice | 3274860622 | Practice locations: Novi, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1861955478. Details of each certification follow.
Hospice certification: CCN 231691
- Legal name
- AMBER HOSPICE CARE, LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 19, 2021
- Last certification
- Nov 19, 2021
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Enrollment address
- 25500 Meadowbrook Rd
Ste 240
Novi, MI 48375-1883
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amber Hospice Care, LLC
- Ownership
- For-Profit
- Certified
- Nov 19, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
17000 Executive Plaza Dr
Ste 207B
Dearborn, MI 48126
Phone (313) 730-8500
29792 Telegraph Rd
Ste 120
Southfield, MI 48034
Phone (313) 739-2859
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Meera Inder | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 12.5% |
| Pinal Patel | 5% Or Greater Direct Ownership Interest | Sep 1, 2024 | 28.33% |
| Nayana H Shah | 5% Or Greater Direct Ownership Interest | Apr 23, 2019 | 5% |
| Doris V Coca Soto | Contracted Managing Employee | May 1, 2024 | |
| Rajan Patel | 5% Or Greater Indirect Ownership Interest | Sep 1, 2024 | 41.67% |
| Corporate Officer | Apr 23, 2019 | ||
| W-2 Managing Employee | Apr 23, 2019 | ||
| Heritage Holdco 2 LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 52.32% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Alpena, MI
- NPI 1093882631
Contracted Managing Employee
-
- Occupational Therapist
- Canton, MI
- NPI 1255471645
5% Or Greater Direct Ownership Interest
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.
-
- Physical Therapist
- Canton, MI
- NPI 1558401950
Affiliated clinicians 10
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Livonia, MI
- NPI 1083611560
Hospice
-
- Emergency Medical Services (Emergency Medicine) Physician
- Flint, MI
- NPI 1023114287
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1861955478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 MEADOWBROOK RD STE 240",
"city": "NOVI",
"state": "MI",
"postal_code": "483751883",
"telephone_number": "248-579-2727",
"fax_number": "248-579-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 EXECUTIVE PLAZA DR STE 207B",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262793",
"telephone_number": "313-730-8500",
"fax_number": "313-730-9172"
}
],
"practiceLocations": [
{
"address_1": "25500 Meadowbrook Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751883",
"country_code": "US",
"telephone_number": "248-579-2727",
"fax_number": "248-579-2737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMBER HOSPICE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "THAWANI",
"authorized_official_first_name": "INDER",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "313-730-8500"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.