Provider Demographics
NPI:1932692787
Name:KINDFUL HOSPICE NORMAN OKLAHOMA CITY, LLC
Entity Type:Organization
Organization Name:KINDFUL HOSPICE NORMAN OKLAHOMA CITY, LLC
Other - Org Name:CENTRAL OKLAHOMA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GOVERNING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-932-1852
Mailing Address - Street 1:6760 OLD JACKSONVILLE HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0566
Mailing Address - Country:US
Mailing Address - Phone:903-363-9932
Mailing Address - Fax:817-326-2436
Practice Address - Street 1:519 W CHICKASHA AVE STE A
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2411
Practice Address - Country:US
Practice Address - Phone:405-360-2400
Practice Address - Fax:405-360-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based