Organization Active NPI

Cambridge Hospice & Palliative Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1154219319
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CAMBRIDGE HOSPICE & PALLIATIVE CARE LLC
Practice address
10333 Harwin Dr Ste 485
Houston, TX 77036-1585
Phone
(713) 485-0404
Fax
(713) 505-1033
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kohisha Blaylock
Title
Administrator
Phone
(713) 485-0404

Specialties & licenses 1

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

Addresses

Primary practice location

10333 Harwin Dr Ste 485
Houston, TX 77036-1585

Mailing address

10333 Harwin Dr Ste 485
Houston, TX 77036-1585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930000480 TX Part A Provider - Hospice 4284130287 Practice locations: Houston, TX

Hospice certification: CCN E21513

Legal name
CAMBRIDGE HOSPICE & PALLIATIVE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 16, 2026
Last certification
Apr 16, 2026
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
10333 Harwin Dr
Ste 485
Houston, TX 77036-1585

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2330168Cambridge Hospice & Palliative Care LLC10333 Harwin Dr, Ste 485, Houston, TX 77036Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

10333 Harwin Dr
Ste 485
Houston, TX 77036
Phone (713) 485-0404

Ownership & related parties

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
Hameed Ali Individual Contracted Managing EmployeeMD; Aug 27, 2025
Brittaney Shaw Individual 5% Or Greater Direct Ownership InterestOwner/Hospice Director of Nursing Jun 3, 2025 33.3%
Nia Stubblefield Individual 5% Or Greater Direct Ownership InterestOwner/Alt. Hospice Administrator Jun 3, 2025 33.4%
Kohisha Blaylock Individual 5% Or Greater Direct Ownership InterestOwner/Hospice Administrator Jun 3, 2025 33.3%
W-2 Managing EmployeeAd;Owner/Hospice Administrator Aug 27, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1154219319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 HARWIN DR STE 485",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 HARWIN DR STE 485",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361585",
            "telephone_number": "713-485-0404",
            "fax_number": "713-505-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HOSPICE & PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "KOHISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-485-0404"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.