Provider Demographics
NPI:1518750512
Name:AMINITY HOSPICE LLC
Entity type:Organization
Organization Name:AMINITY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BAABA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAKA-SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-943-1454
Mailing Address - Street 1:5200 PAIGE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2121
Mailing Address - Country:US
Mailing Address - Phone:614-943-1454
Mailing Address - Fax:
Practice Address - Street 1:5200 PAIGE RD STE 101
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2121
Practice Address - Country:US
Practice Address - Phone:614-943-1454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based