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
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
| Name | Role | Since | Share |
|---|---|---|---|
| Azemobho Imaku |
5% Or Greater Direct Ownership Interest |
Mar 27, 2023 | 50% |
| Corporate Officer |
Mar 27, 2023 | 50% | |
| Corporate Director |
Mar 27, 2023 | 50% | |
| Shenice C Ferguson |
W-2 Managing Employee |
Aug 9, 2023 | |
| Tristan Washington |
Contracted Managing Employee |
Feb 27, 2026 | 100% |
| Ike Uzodinma Uzowulu |
5% Or Greater Direct Ownership Interest |
Mar 27, 2023 | 50% |
| Corporate Officer |
Mar 27, 2023 | 50% | |
| Corporate Director |
Mar 27, 2023 | 50% | |
| W-2 Managing Employee |
Mar 27, 2023 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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All providers in Fresno, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.