Aleeza Health Care Center LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALEEZA HEALTH CARE CENTER LLC

Practice address

1825 W Walnut Hill LN
Suite 120, Room #219
Irving, TX 75038-3218

Phone

(817) 881-4250

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

Rudy Mutombo

Title

President

Phone

(817) 881-4250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Beyondfaith Hospice of Garland, LLC

  dba BeyondFaith Hospice LLC

  • Community Based Hospice Care Agency
  • Weatherford, TX
  • NPI 1518474394

  Sold to, 2018-02-04

  CMS change of ownership

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1902204829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 W WALNUT HILL LN",
            "address_2": "SUITE 120, ROOM #219",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383218",
            "telephone_number": "817-881-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W WALNUT HILL LN",
            "address_2": "SUITE 120, ROOM #219",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383218",
            "telephone_number": "817-881-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEEZA HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "MUTOMBO",
        "authorized_official_first_name": "RUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-881-4250"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albertsons LLC (Albertsons Pharmacy #0036)
• Albertsons LLC (Albertsons Central Fill Pharmacy Irving)
• Rama Aldarkazanly
• Keith A Aldred, MD
• Lola Aldridge, NURSE PRACTITIONER
• Anastasia Alex, MD
• De'Kayta Alex, DPT
• Jeffin Alex
• Janice Alexander- Lambert
• Dylan Alexander, PT, DPT

• Community Based Hospice Care Agency in Irving, TX
• Providers in Irving, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.