Organization Active NPI

Amazing Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Saginaw, MI
National Provider Identifier
1952977464
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 3, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 231697 · All quality measures
Ownership
For-Profit
Certified
Apr 27, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Tahir R Khan Individual Corporate DirectorBoard Member/VP/Treasurer May 28, 2021 75%
W-2 Managing Employee May 28, 2021 100%
Sarah Khan Individual 5% Or Greater Direct Ownership Interest May 28, 2021 100%
Corporate DirectorOwner/President 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

Verify at the official NPI Registry.