Compassionate Care Angels LLC

Organization Active NPI Community Based Hospice Care Agency · Fresno, TX

NPI 1013601665 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1013601665
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
COMPASSIONATE CARE ANGELS LLC
Practice address
435 Cypress Ave
Fresno, TX 77545-8084
Phone
(909) 292-8040
NPI assigned
Jun 6, 2023
Organization subpart
No

Authorized official

Name
Azemobho Imaku, RT
Title
Alternate Administrator/ Owner
Phone
(909) 292-8040

Owners & managing parties with NPI records 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Hospice certification: CCN E21509

Legal name
COMPASSIONATE CARE ANGELS LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 14, 2025
Last certification
Oct 16, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
LLC · Proprietary
Enrollment address
9900 Westpark Dr
Suite 315a
Houston, TX 77063

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Azemobho Imaku
Individual
5% Or Greater Direct Ownership Interest
Owner/Officer
Mar 27, 2023 50%
Corporate Officer
Managing Member/Officer
Mar 27, 2023 50%
Corporate Director
Managing Member/Director
Mar 27, 2023 50%
Shenice C Ferguson
Individual
W-2 Managing Employee
Ad;
Aug 9, 2023
Tristan Washington
Individual
Contracted Managing Employee
MD;
Feb 27, 2026 100%
Ike Uzodinma Uzowulu
Individual
5% Or Greater Direct Ownership Interest
Owner/Officer
Mar 27, 2023 50%
Corporate Officer
Officer/ Managing Member
Mar 27, 2023 50%
Corporate Director
Managing Member/Director
Mar 27, 2023 50%
W-2 Managing Employee
Alt. Administrator
Mar 27, 2023 50%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20231025003428 TX Part a Provider - Hospice 7618323700 Practice locations: Houston, TX

National Provider Directory

Locations

10701 Corporate Dr
Ste 391
Stafford, TX 77477
Phone (346) 857-8132

Specialties & licenses

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

Addresses

Primary practice location

435 Cypress Ave
Fresno, TX 77545-8084

Mailing address

435 Cypress Ave
Fresno, TX 77545-8084
Phone (281) 292-8040

Other names

  • Compassionate Care Angels Doing business as

Other providers in Fresno, TX

All providers in Fresno, TX · Community Based Hospice Care Agency in Texas

Sources for this page

Verify at the official NPI Registry.