A Path of Care Hospice V, LLC
Organization Active NPI Community Based Hospice Care Agency · Weatherford, OK
NPI 1124807516 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1124807516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- A PATH OF CARE HOSPICE V, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. John Kelly
- Title
- Managing Member
- Phone
- (405) 928-2727
Change of ownership 1
Facilities with the same owner 6
Affiliated clinicians 1
-
Brian Bluth, MD
Medicare Care Compare: Hospice
- Listed as
- A Path of Care Hospice V, LLC
- Ownership
- For-Profit
- Certified
- Nov 11, 2005
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
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
- LLC · Proprietary
- Enrollment address
- 1315 N Washington St
Ste C2
Weatherford, OK 73096-2443
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Home Health Holdings LLP |
5% Or Greater Direct Ownership Interest | Oct 21, 2023 | 100% |
| Brian G Birdwell |
Contracted Managing Employee |
Oct 21, 2024 | 100% |
| Stephanie Shoaf |
W-2 Managing Employee |
Oct 21, 2024 | 100% |
| John Kelly |
Corporate Officer |
Oct 21, 2023 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Oct 24, 2023 | Change of Ownership |
Promisecare Hospice Inc |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241023000858 | OK | Part a Provider - Hospice | 6305379843 | Practice locations: Weatherford, OK |
National Provider Directory
Locations
1315 N Washington St
Ste C2
Weatherford, OK 73096
Phone (580) 248-1405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- A Path of Care Promisecare Hospice
Other providers in Weatherford, OK
- 4E Audiology, PLLC
- A Path of Care Home Health VII, LLC
- Aaron Clinic
- Michael E Aaron
- Kylar Marie Adams
- Theresa J Adams
- Advanced Homecare Services, Inc.
All providers in Weatherford, OK · Community Based Hospice Care Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.