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NPI Code Detail

MEDICARE: GRACE RACE PALLIATIVE HOSPICE LLC.

MEDICARE: GRACE RACE PALLIATIVE HOSPICE LLC.
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
1251G00000XCommunity Based Hospice Care AgencyTX

General Provider Information

NPI Number : 1508346578
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACE RACE PALLIATIVE HOSPICE LLC.
Provider Business Mailing Address
First Line : 13207 WATER OAK PARK CIR
Second Line :
City : CYPRESS
State : TX
Zip : 77429-4035
Country : US
Telephone Number : 713-814-8135
Fax Number : 346-260-5958
Provider Business Practice Location Address
First Line : 13207 WATER OAK PARK CIR
Second Line :
City : CYPRESS
State : TX
Zip : 77429-4035
Country : US
Telephone Number : 713-814-8135
Fax Number : 346-260-5958
Authorized Official
Title or Position : ADMINISTRATOR
Name : INGRID LEAVITT
Credential : RN
Telephone Number : 713-814-8135
Provider Enumeration Date : 08/18/2018
Last Update Date : 04/07/2026

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Directions to “GRACE RACE PALLIATIVE HOSPICE LLC. ” Practice Location

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