Premier Care Group, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

017880 Issued in TX

Legal business name

PREMIER CARE GROUP, INC.

Doing business as

TruCare Hospice and Palliative Services

Practice address

12808 W Airport Blvd Ste 346
Sugar Land, TX 77478-6230

Phone

(832) 917-1704

Fax

(866) 821-9796

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Kafayatu Olatunbosun Bombata, BSN, RN

Title

Don

Phone

(832) 917-1704

Specialties & licenses 1

Addresses

Other names 1

• TruCare Hospice and Palliative Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741711

Legal name

PREMIER CARE GROUP INC

Doing business as

TRUCARE HOSPICE AND PALLIATIVE SERVICES

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 28, 2017

Last certification

Oct 9, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 10, 2016 in TX

Enrollment address

12808 W Airport Blvd
Ste 346
Sugar Land, TX 77478-6230

Listed as

Trucare Hospice and Palliative ServicesCCN 741711 · All quality measures

Ownership

For-Profit

Certified

Oct 28, 2017

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Aaliya Islam Amer, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Katy, TX
  • NPI 1518999093

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hakeem Kunle Bombata, COTA

  • Occupational Therapy Assistant
  • Houston, TX
  • NPI 1669787404
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Aaliya Islam Amer, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Katy, TX
  • NPI 1518999093

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1881137800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD STE 346",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786230",
            "telephone_number": "832-917-1704",
            "fax_number": "866-821-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD STE 346",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786230",
            "telephone_number": "832-917-1704",
            "fax_number": "866-821-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12808 W Airport Blvd Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774786228",
            "country_code": "US",
            "telephone_number": "832-917-1704",
            "fax_number": "866-821-9796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "BOMBATA",
        "authorized_official_first_name": "KAFAYATU",
        "authorized_official_middle_name": "OLATUNBOSUN",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "832-917-1704",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "017880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruCare Hospice and Palliative Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.