Organization Active NPI

Grace Race Palliative Hospice LLC.

  • Community Based Hospice Care Agency
  • Cypress, TX
National Provider Identifier
1508346578
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Apr 7, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 971601
Ownership
For-Profit
Certified
Sep 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2162953Grace Race Palliative Hospice LLC13207 Water Oak Park Circle, Cypress, TX 77429Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Kelechi Azuogu Individual Contracted Managing EmployeeMD; Jan 26, 2024
Ingrid Leavitt Individual 5% Or Greater Direct Ownership Interest Jan 19, 2022 50%
Corporate DirectorAdminstrator Don Jan 19, 2022 100%
W-2 Managing EmployeeAdminstrator Don Jan 19, 2022 100%
Operational/Managerial ControlAdminstrator Don Jan 19, 2022
Obinna Obialo Individual 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.

Change-of-ownership history 2

DateEventCounterparty
Jan 19, 2022 Change of OwnershipThis provider was the buyer Grace Race Palliative Hospice LLCCCN 971601, TX, NPI 1508346578
Jan 19, 2022 Change of OwnershipThis provider was the seller Grace Race Palliative Hospice LLCCCN 971601, TX, NPI 1508346578

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

Verify at the official NPI Registry.