Sans Bois Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4290 Issued in OK

Legal business name

SANS BOIS HOSPICE, LLC

Practice address

901 E Main St Ste a
Stigler, OK 74462-2541

Phone

(918) 967-1002

Fax

(918) 967-1007

NPI assigned

Jun 19, 2013

Last updated

Aug 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Lane

Title

Senior VP of Operations & Finances

Phone

(918) 967-1001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063851418. Details of each certification follow.

• CCN 371706 Hospice · Active · Details

Hospice certification: CCN 371706

Legal name

SANS BOIS HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 21, 2014

Last certification

Jan 24, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

901 East Main Street
Suite a
Stigler, OK 74462-2541

Listed as

Sans Bois Hospice, LLCCCN 371706 · All quality measures

Ownership

For-Profit

Certified

Feb 21, 2014

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 6

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.

• Arthur Wayne Pearson III, M.D.

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1811331754

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Arthur Wayne Pearson III, M.D.

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1811331754

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1063851418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST STE A",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622541",
            "telephone_number": "918-967-1002",
            "fax_number": "918-967-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST STE A",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622541",
            "telephone_number": "918-967-1002",
            "fax_number": "918-967-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Poteau",
            "state": "OK",
            "postal_code": "749532000",
            "country_code": "US",
            "telephone_number": "918-649-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANS BOIS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "SENIOR VP OF OPERATIONS & FINANCES",
        "authorized_official_telephone_number": "918-967-1001"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam Ross
• Shannon Gail Roye Johnston, LPC
• Sans Bois Health Services, Inc
• Sans Bois Health Services, Inc.
• Sans Bois Health Services, Inc.
• Alice Sardina
• Don Ellis Scarberry
• Lawanda Sue Scarberry
• Elsie F Schoggins
• Patricia Darlene Scott-Marsh, R.N.

• Community Based Hospice Care Agency in Stigler, OK
• Providers in Stigler, 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 Aug 7, 2026; 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.