Active NPI
Grace Race Palliative Hospice LLC.
- Community Based Hospice Care Agency
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GRACE RACE PALLIATIVE HOSPICE LLC.
- Practice address
- 13207 Water Oak Park Cir
Cypress, TX 77429-4035 - Phone
- (713) 814-8135
- Fax
- (346) 260-5958
- NPI assigned
- Aug 18, 2018
- 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
- Ingrid Leavitt, RN
- Title
- Administrator
- Phone
- (713) 814-8135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | TX | Primary |
Addresses
Primary practice location
13207 Water Oak Park Cir
Cypress, TX 77429-4035
Mailing address
13207 Water Oak Park Cir
Cypress, TX 77429-4035
Phone (713) 814-8135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230406002908 | TX | Part A Provider - Hospice | 5092180927 | Practice locations: Katy, TX |
Hospice certification: CCN 971601
- Legal name
- GRACE RACE PALLIATIVE HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 16, 2020
- Last certification
- Sep 16, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jan 19, 2022 in TX
- Enrollment address
- 6213 Settlers Square LN
Katy, TX 77449-0109
Care Compare: Hospice
Medicare Care Compare- Listed as
- Grace Race Palliative Hospice LLC
- Ownership
- For-Profit
- Certified
- Sep 16, 2020
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 45D2162953 | Grace Race Palliative Hospice LLC | Certificate of waiver | Mar 4, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Kelechi Azuogu | Contracted Managing Employee | Jan 26, 2024 | |
| Ingrid Leavitt | 5% Or Greater Direct Ownership Interest | Jan 19, 2022 | 50% |
| Corporate Director | Jan 19, 2022 | 100% | |
| W-2 Managing Employee | Jan 19, 2022 | 100% | |
| Operational/Managerial Control | Jan 19, 2022 | ||
| Obinna Obialo | 5% Or Greater Direct Ownership Interest | Jan 19, 2022 | 50% |
| W-2 Managing Employee | Jan 19, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Houston, TX
- NPI 1003220625
Contracted Managing Employee
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Jan 19, 2022 | Change of Ownership | Grace Race Palliative Hospice LLC |
| Jan 19, 2022 | Change of Ownership | Grace Race Palliative Hospice LLC |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1508346578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13207 WATER OAK PARK CIR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294035",
"telephone_number": "713-814-8135",
"fax_number": "346-260-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 WATER OAK PARK CIR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294035",
"telephone_number": "713-814-8135",
"fax_number": "346-260-5958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE RACE PALLIATIVE HOSPICE LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-18",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A",
"authorized_official_last_name": "LEAVITT",
"authorized_official_first_name": "INGRID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-814-8135",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.