Organization Active NPI

Kindful Hospice Wichita, LLC

  • Community Based Hospice Care Agency
  • Wichita, KS
National Provider Identifier
1063031052
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KINDFUL HOSPICE WICHITA, LLC
Doing business as
Choice Hospice
Practice address
1608 E Lewis St Ste 100
Wichita, KS 67211-1823
Phone
(316) 500-7679
Fax
(316) 500-7623
NPI assigned
Apr 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Katrina Dawn Lanier
Title
Authorized Official
Phone
(903) 363-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1608 E Lewis St Ste 100
Wichita, KS 67211-1823

Mailing address

6760 Old Jacksonville Hwy Ste 101
Tyler, TX 75703-0566
Phone (903) 363-9932

Other names 1

  • Choice Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501000450 KS Part A Provider - Hospice 6901236173 Practice locations: Overland Park, KS; Wichita, KS

Hospice certification: CCN 171612

Legal name
KINDFUL HOSPICE WICHITA LLC
Doing business as
CHOICE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 4, 2020
Last certification
Nov 4, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Apr 20, 2020 in KS
Enrollment address
7500 College Blvd
Ste 535
Overland Park, KS 66210-4043

Care Compare: Hospice

Medicare Care Compare
Listed as
Choice HospiceCCN 171612
Ownership
For-Profit
Certified
Nov 4, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2222077Kindful Hospice Wichita, LLC1608 E Lewis St, Ste 100, Wichita, KS 67211Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7500 College Blvd
Ste 535
Overland Park, KS 66210
Phone (913) 624-3112

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Choice Health at Home Holdings, LLC Organization, Tyler, TX LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%
Katrina Lanier Individual Corporate OfficerCoo Dec 29, 2021
Tcfiii CH Investor LLC Organization, Dallas, TX LLC, Investment firm 5% Or Greater Indirect Ownership Interest Dec 29, 2021 65.43%
David Jackson Individual 5% Or Greater Indirect Ownership Interest Dec 29, 2021 9.69%
Corporate OfficerCeo Dec 29, 2021
Corporate Director Dec 29, 2021
Kindful Hospice I, LLC Organization, Wichita, KS LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 16, 2021 100%
Choice Rehab Holdings, Inc. Organization, Tyler, TX Corporation 5% Or Greater Indirect Ownership Interest Dec 29, 2021 8.93%
Katie Elizabeth Sandlin Individual W-2 Managing EmployeeExecutive Director of Compliace May 19, 2020
Tcfiii CH LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%
Choice Health at Home, LLC Organization, Tyler, TX LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%
Coltala Choice, LLC Organization, Fort Worth, TX LLC, Investment firm 5% Or Greater Indirect Ownership Interest Dec 29, 2021 16.61%
Kasey Kennedy Individual W-2 Managing EmployeeAd; Jan 6, 2026
Trive Capital Fund III LP Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Dec 29, 2021 64.37%
Tcfiii CH SPV LP Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Dec 29, 2021 35.63%
Troy a Holdeman Individual Contracted Managing EmployeeMD; Sep 12, 2025
Choice Hospice of Oklahoma LLC Organization, Shawnee, OK LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 60

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

View all 60

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1063031052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 OLD JACKSONVILLE HWY STE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030566",
            "telephone_number": "903-363-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 E LEWIS ST STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111823",
            "telephone_number": "316-500-7679",
            "fax_number": "316-500-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDFUL HOSPICE WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "903-363-9932"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Choice Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.