Sunset Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUNSET HOSPICE LLC

Practice address

1605 N Washington Ave
Durant, OK 74701-2129

Phone

(855) 942-3687

Fax

(855) 710-7022

NPI assigned

Jun 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Beverly D Ashlock

Title

HR Director/Support Director

Phone

(903) 458-9012

Specialties & licenses 1

Addresses

Other names 1

• Centric Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospice certification: CCN 371702

Legal name

SUNSET HOSPICE LLC

Doing business as

CENTRIC HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 6, 2013

Last certification

May 4, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

1605 N Washington Ave
Durant, OK 74701-2129

Listed as

Centric HospiceCCN 371702

Ownership

For-Profit

Certified

May 6, 2013

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Paul A Reel, DO

  • Family Medicine Physician
  • Tishomingo, OK
  • NPI 1871536862

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 2

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

• Victory Home Health of Texas, LLC

  • Home Health Agency
  • Sherman, TX
  • NPI 1427185099

  My Centric Healthcare LLC, Nu View Ira, Inc Fbo Curtis Wagner Ira

  CMS ownership
• Victory Hospice of Texas, LLC

  • Community Based Hospice Care Agency
  • Plano, TX
  • NPI 1194852251

  My Centric Healthcare LLC, Mycentric Holdings LLC, Nu View Ira, Inc Fbo Curtis Wagner Ira

  CMS ownership

Affiliated clinicians 8

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

• Julide Akman-Carmichael, MD

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1518287713

  Hospice

  Care Compare affiliation
• Bailey Camille Buck, DO

  • Family Medicine Physician
  • Durant, OK
  • NPI 1457978934

  Hospice

  Care Compare affiliation
• Russell Craig Click, M.D.

  • Family Medicine Physician
  • Shawnee, OK
  • NPI 1144397571

  Hospice

  Care Compare affiliation
• Francois J Dutoit, MD

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1760477509

  Hospice

  Care Compare affiliation
• Terry Hermance, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1518980580

  Hospice

  Care Compare affiliation
• Robert Oliver Morton, MD

  • Psychiatry Physician
  • Ada, OK
  • NPI 1336222504

  Hospice

  Care Compare affiliation
• Paul A Reel, DO

  • Family Medicine Physician
  • Tishomingo, OK
  • NPI 1871536862

  Hospice

  Care Compare affiliation
• Vanama Yerra, MD

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1437246717

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1033439831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750910325",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012129",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 NW Cache Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735053740",
            "country_code": "US",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3946 N Kickapoo Ave Unit 1",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748041711",
            "country_code": "US",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Monte Vista St",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748204670",
            "country_code": "US",
            "telephone_number": "855-942-3687",
            "fax_number": "855-710-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSET HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "ASHLOCK",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HR DIRECTOR/SUPPORT DIRECTOR",
        "authorized_official_telephone_number": "903-458-9012"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centric Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Stutt
• Elizabeth Anne Sullivan
• Christy Renae Summers, RBT
• Miranda F Summit, M.ED
• James R Sumner, D.O.
• Koteswar Rao Sureddi, M.D.
• Seetha Devi Sureddi, M.D.
• Surgery Center at Durant LLC
• Joshua John Swearingen, MBS
• Stefanie Swedelson

• Community Based Hospice Care Agency in Durant, OK
• Providers in Durant, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.