Active NPI
Cambridge Hospice & Palliative Care LLC
- Community Based Hospice Care Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 10333 Harwin Dr
Ste 485
Houston, TX 77036-1585
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2330168 | Cambridge Hospice & Palliative Care LLC | Certificate of waiver | Sep 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hameed Ali | Contracted Managing Employee | Aug 27, 2025 | |
| Brittaney Shaw | 5% Or Greater Direct Ownership Interest | Jun 3, 2025 | 33.3% |
| Nia Stubblefield | 5% Or Greater Direct Ownership Interest | Jun 3, 2025 | 33.4% |
| Kohisha Blaylock | 5% Or Greater Direct Ownership Interest | Jun 3, 2025 | 33.3% |
| W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Temple, TX
- NPI 1104974955
Contracted Managing Employee
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1184076259
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1184076259
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.