NPIMap

Organization Active NPI

A Path of Care Hospice V, LLC

Doing business as A Path of Care Promisecare Hospice

  • Community Based Hospice Care Agency
  • Weatherford, OK
National Provider Identifier
1124807516
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
A PATH OF CARE HOSPICE V, LLC
Doing business as
A Path of Care Promisecare Hospice
Practice address
110 E Franklin Ave Ste 100
Weatherford, OK 73096-5156
Phone
(580) 248-1405
Fax
(580) 248-8996
NPI assigned
Sep 25, 2023
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Mr. John Kelly
Title
Managing Member
Phone
(405) 928-2727

Specialties & licenses 1

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

Addresses

Primary practice location

110 E Franklin Ave Ste 100
Weatherford, OK 73096-5156

Mailing address

2910 Adams Rd Ste 110
Norman, OK 73069-1023
Phone (405) 928-2727

Other names 1

  • A Path of Care Promisecare Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241023000858 OK Part A Provider - Hospice 6305379843 Practice locations: Weatherford, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124807516. Details of each certification follow.

Hospice certification: CCN 371667

Legal name
A PATH OF CARE HOSPICE V, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 11, 2005
Last certification
Dec 4, 2019
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
1315 N Washington St
Ste C2
Weatherford, OK 73096-2443

Care Compare: Hospice

Medicare Care Compare
Listed as
A Path of Care Hospice V, LLCCCN 371667 · All quality measures
Ownership
For-Profit
Certified
Nov 11, 2005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1315 N Washington St
Ste C2
Weatherford, OK 73096
Phone (580) 248-1405

Ownership & related parties

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
Home Health Holdings LLP Organization, Norman, OK For-profit 5% Or Greater Direct Ownership Interest Oct 21, 2023 100%
Brian G Birdwell Individual Contracted Managing EmployeeMD; Oct 21, 2024 100%
Stephanie Shoaf Individual W-2 Managing EmployeeAd; Oct 21, 2024 100%
John Kelly Individual Corporate OfficerManaging Member Oct 21, 2023 100%

Facilities with the same owner 6

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

Change-of-ownership history 1

DateEventCounterparty
Oct 24, 2023 Change of OwnershipThis provider was the buyer Promisecare Hospice IncCCN 371667, OK, NPI 1730292848

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1124807516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ADAMS RD STE 110",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691023",
            "telephone_number": "405-928-2727",
            "fax_number": "405-928-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E FRANKLIN AVE STE 100",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730965156",
            "telephone_number": "580-248-1405",
            "fax_number": "580-248-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PATH OF CARE HOSPICE V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-928-2727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Path of Care Promisecare Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Path of Care Promisecare Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, OK

Sources for this page

Verify at the official NPI Registry.