Active NPI
Amazing Hospice Care Inc.
- Community Based Hospice Care Agency
- Saginaw, MI
National Provider Identifier
1952977464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMAZING HOSPICE CARE INC.
- Practice address
- 2575 McLeod Dr N Ste C
Saginaw, MI 48604-2857 - Phone
- (989) 992-4587
- NPI assigned
- Jun 3, 2021
- 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
- Tahir Khan
- Title
- Administrator
- Phone
- (989) 992-4587
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2575 McLeod Dr N Ste C
Saginaw, MI 48604-2857
Mailing address
2575 McLeod Dr N Ste C
Saginaw, MI 48604-2857
Phone (989) 992-4587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210901001395 | MI | Part A Provider - Hospice | 6800292731 | Practice locations: Saginaw, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952977464. Details of each certification follow.
Hospice certification: CCN 231697
- Legal name
- AMAZING HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 27, 2022
- Last certification
- Apr 27, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- May 28, 2021 in MI
- Enrollment address
- 2575 McLeod Dr N
Ste B
Saginaw, MI 48604-2857
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amazing Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Apr 27, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Tahir R Khan | Corporate Director | May 28, 2021 | 75% |
| W-2 Managing Employee | May 28, 2021 | 100% | |
| Sarah Khan | 5% Or Greater Direct Ownership Interest | May 28, 2021 | 100% |
| Corporate Director | May 28, 2021 | 25% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1952977464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 MCLEOD DR N STE C",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042857",
"telephone_number": "989-992-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 MCLEOD DR N STE C",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042857",
"telephone_number": "989-992-4587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING HOSPICE CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "TAHIR",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "989-992-4587"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.