A Path of Care Hospice I, LLC

Organization Active NPI Community Based Hospice Care Agency · Norman, OK

NPI 1013348440 · NPPES record last updated Mar 24, 2026

Key facts

NPI
1013348440
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
License
4199 (OK)
Legal business name
A PATH OF CARE HOSPICE I, LLC
Practice address
2781 Washington Dr Ste 111
Norman, OK 73069-1001
Phone
(405) 928-9900
Fax
(405) 928-2750
NPI assigned
Dec 11, 2013
Organization subpart
No

Authorized official

Name
Mr. John Kelly
Title
Manager of LLC
Phone
(405) 928-2727

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Hospice

Listed as
A Path of Care Tendercare Hospice CCN 371666
Ownership
Other
Certified
Nov 8, 2005
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2077880A Path of Care Tendercare Hospice
4251 28TH Ave NW, Ste 111, Norman, OK 73069
Certificate of waiverMay 15, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Hospice certification: CCN 371666

Legal name
A PATH OF CARE HOSPICE I, LLC
Doing business as
A PATH OF CARE TENDERCARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 8, 2005
Last certification
Jul 22, 2022
Ownership / control type
Other
Organization structure
LLC · Proprietary
Incorporated
Apr 10, 2013 in OK
Enrollment address
4251 28TH Ave NW
Ste 111
Norman, OK 73069-8217

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Innovative Capital Management LLC
Organization · Norman, TX
LLC, For-profit
Operational/Managerial Control Jan 17, 2014 100%
A Path of Care Hospice I, LLC
Organization · Norman, OK
LLC, For-profit
5% Or Greater Direct Ownership Interest Jan 17, 2014 100%
Home Health Holding LLP
Organization · Norman, OK
For-profit
5% Or Greater Indirect Ownership Interest Jun 30, 2021 100%
John Kelly
Individual
Corporate Officer
Manager
Jan 17, 2014 100%
Operational/Managerial Control
Manager of LLC
Jan 17, 2014 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140411001453 OK Part a Provider - Hospice 6709018427 Practice locations: Norman, OK

National Provider Directory

Locations

1 N Arno St
Ste B
Coalgate, OK 74538
Phone (580) 927-2327

2401 Tee Cir
Ste 106
Norman, OK 73069
Phone (918) 423-9500

4251 28th Ave NW
#111
Norman, OK 73069
Phone (405) 928-9900

2781 Washington Dr
#111
Norman, OK 73069
Phone (405) 321-7400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4199 OK Yes

Addresses

Primary practice location

2781 Washington Dr Ste 111
Norman, OK 73069-1001

Mailing address

2910 Adams Rd
Norman, OK 73069-1023
Phone (405) 928-2727

Other names

  • TenderCare Hospice Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Norman, OK

All providers in Norman, OK · Community Based Hospice Care Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.