Compassionate Care Hospice Agency LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPASSIONATE CARE HOSPICE AGENCY LLC

Practice address

12808 W Airport Blvd Ste 275I
Sugar Land, TX 77478-6245

Phone

(832) 600-8066

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Ebony Monique Jackson, RN,BSN

Title

Administrator/ Director of Nursing

Phone

(832) 600-8066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN E21506

Legal name

COMPASSIONATE CARE HOSPICE AGENCY LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 5, 2025

Last certification

Nov 26, 2025

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

12808 W Airport Blvd
Ste 275I
Sugar Land, TX 77478-6245

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

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

• Hameed Q Ali, D. O.

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1104974955

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1306648290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD STE 275I",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786245",
            "telephone_number": "832-600-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD STE 275I",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786245",
            "telephone_number": "832-600-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE HOSPICE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "832-600-8066",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.