MEDICARE: CEDAR-GRACE LIVING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1154260602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR-GRACE LIVING INC

Provider Business Mailing Address
First Line	:	6907 NORTHCHESTER DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-3850
Country	:	US
Telephone Number	:	248-497-4458
Fax Number	:

Provider Business Practice Location Address
First Line	:	6642 LA PUENTE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1125
Country	:	US
Telephone Number	:	832-348-6011
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. HARRIET ADESUWA EVBUOMWAN
Credential	:
Telephone Number	:	248-497-4458

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

Similar Medicare Providers

1497743462 — MOHSIN K BAJWA MD
Practice Location Address:

1125 CYPRESS STATION DR , SUITE E
HOUSTON, TX
77090-3054

Practice Phone: 281-537-6300
Practice Fax: 281-537-7575

1518955525 — SALAH Y GHOBRIAL MD
Practice Location Address:

1125 CYPRESS STATION DR , SUITE E
HOUSTON, TX
77090-3054

Practice Phone: 281-537-6300
Practice Fax: 281-537-7575

1609845577 — DR. NAILA RAMIZ M.D.
Practice Location Address:

1125 CYPRESS STATION DR STE F1
HOUSTON, TX
77090-3055

Practice Phone: 281-957-5770
Practice Fax: 281-880-6684

1811946478 — KHAWAJA AZIMUDDIN M.D.
Practice Location Address:

1125 CYPRESS STATION DR , SUITE G3
HOUSTON, TX
77090-3054

Practice Phone: 281-583-1300
Practice Fax: 281-583-1303

1053366351 — NABIL T KHOURY M.D.
Practice Location Address:

1125 CYPRESS STATION DR , A3
HOUSTON, TX
77090-3054

Practice Phone: 832-410-1464
Practice Fax: 281-310-6602

1750336707 — DR. LARRY FLOWERS M.D.
Practice Location Address:

1125 CYPRESS STATION DR STE B-1
HOUSTON, TX
77090-3055

Practice Phone: 281-586-7880
Practice Fax: 281-580-5061

Directions to “CEDAR-GRACE LIVING INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.