NPIMap

Organization Active NPI

Ricelands Home Health Care and Hospice LLC

  • Community Based Hospice Care Agency
  • Albuquerque, NM
National Provider Identifier
1902402126
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RICELANDS HOME HEALTH CARE AND HOSPICE LLC
Practice address
9215 Layton Ave NE
Albuquerque, NM 87111-1335
Phone
(423) 717-8266
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
David Agyapong
Title
Owner
Phone
(615) 310-6325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

9215 Layton Ave NE
Albuquerque, NM 87111-1335

Mailing address

9215 Layton Ave NE
Albuquerque, NM 87111-1335
Phone (423) 717-8266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210805000513 NM Part A Provider - Hospice 8325442809 Practice locations: Rio Rancho, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902402126. Details of each certification follow.

Hospice certification: CCN 321591

Legal name
RICELANDS HOME HEALTH CARE AND HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 10, 2023
Last certification
Jun 22, 2023
Organization structure
LLCProprietary
Incorporated
Jul 16, 2020 in NM
Enrollment address
2345 Southern Blvd SE
Ste C8
Rio Rancho, NM 87124-3762

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Ricelands Home Health Care and Hospice, LLCCCN 321591 · All quality measures
Certified
Jul 10, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2229697Ricelands Home Health Care & Hospice LLC2345 Southern Blvd SE Suite C-8, Rio Rancho, NM 87124Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ricelands Home Health Care and Hospice LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

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.

NameRoleSinceShare
David Agyapong Individual 5% Or Greater Direct Ownership Interest Jul 16, 2020 55%
Corporate DirectorPresident, Treasurer, Alternate Jul 16, 2020 55%
W-2 Managing EmployeePresident, Treasurer, Alternate Jul 16, 2020 55%
Benedette Ogindo Individual 5% Or Greater Direct Ownership Interest Jul 16, 2020 45%
Corporate DirectorVice President, Secretary, Admin Jul 16, 2020 45%
W-2 Managing EmployeeVice President, Secretary, Admin Jul 16, 2020 45%
Ricelands Home Health Care and Hospice LLC Organization, Rio Rancho, NM Created for acquisition, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 12, 2021 55%

Owners & managing parties with NPI records 3

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

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1902402126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 LAYTON AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111335",
            "telephone_number": "423-717-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 LAYTON AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111335",
            "telephone_number": "423-717-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICELANDS HOME HEALTH CARE AND HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "AGYAPONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-310-6325"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.