Good Shepherd Hospice of Ardmore, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOOD SHEPHERD HOSPICE OF ARDMORE, LLC

Practice address

1505 N Commerce St Ste 104
Ardmore, OK 73401-1859

Phone

(580) 798-6116

Fax

(877) 928-8404

NPI assigned

Sep 10, 2020

Last updated

Apr 23, 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

Mr. Jason K Delester

Title

Manager

Phone

(405) 943-0903

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194330811. Details of each certification follow.

• CCN 371726 Hospice · Active · Details

Hospice certification: CCN 371726

Legal name

GOOD SHEPHERD HOSPICE OF ARDMORE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 20, 2021

Last certification

Jun 20, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jun 18, 2020 in OK

Enrollment address

1505 N Commerce St
Ste 104
Ardmore, OK 73401-1859

Listed as

Good Shepherd Hospice of Ardmore, LLCCCN 371726 · All quality measures

Ownership

For-Profit

Certified

Jun 20, 2021

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 5

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.

• Brian Michael Shockey, MD

  • Internal Medicine Physician
  • Ardmore, OK
  • NPI 1366404105

  Corporate Director, W-2 Managing Employee

  CMS ownership

Facilities with the same owner 6

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

• Good Shepherd Hospice Inc

  • Community Based Hospice Care Agency
  • Grove, OK
  • NPI 1447352505

  Shellie K Greiner Revocable Trust

  CMS ownership
• Good Shepherd Hospice Inc

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
  • NPI 1851493944

  Shellie K Greiner Revocable Trust

  CMS ownership
• Good Shepherd Hospice of Dallas, L.L.C.

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1205939816

  Shellie K Greiner Revocable Trust

  CMS ownership
• Good Shepherd Hospice of Houston LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1407122062

  Shellie K Greiner Revocable Trust

  CMS ownership
• Good Shepherd Hospice of San Antonio, L.L.C.

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1033465208

  Shellie K Greiner Revocable Trust

  CMS ownership
• Good Shepherd Hospice of Springfield, LLC

  • Community Based Hospice Care Agency
  • Springfield, MO
  • NPI 1720255284

  Shellie K Greiner Revocable Trust

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel R Campbell, FNP-BC

  • Family Nurse Practitioner
  • Ardmore, OK
  • NPI 1447953666
  Medicare reassignment NPD
• Brian Michael Shockey, MD

  • Internal Medicine Physician
  • Ardmore, OK
  • NPI 1366404105
  NPD (past)

Affiliated clinicians 4

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

• Ryan William Oden, D.O.

  • Family Medicine Physician
  • Sulphur, OK
  • NPI 1659538734

  Hospice

  Care Compare affiliation
• George William Russell, D.O.

  • Family Medicine Physician
  • Sulphur, OK
  • NPI 1508307448

  Hospice

  Care Compare affiliation
• Brian Michael Shockey, MD

  • Internal Medicine Physician
  • Ardmore, OK
  • NPI 1366404105

  Hospice

  Care Compare affiliation
• Brooks B Zimmerman, DO

  • Family Medicine Physician
  • Ardmore, OK
  • NPI 1306845367

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1194330811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WILL ROGERS PKWY STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081840",
            "telephone_number": "405-943-0903",
            "fax_number": "877-928-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N COMMERCE ST STE 104",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011859",
            "telephone_number": "580-798-6116",
            "fax_number": "877-928-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 W Main St",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747014583",
            "country_code": "US",
            "telephone_number": "580-634-2130",
            "fax_number": "877-334-8702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1424 N Hwy 81",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735332685",
            "country_code": "US",
            "telephone_number": "580-560-2188",
            "fax_number": "888-730-1863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "OK",
            "postal_code": "730864247",
            "country_code": "US",
            "telephone_number": "580-319-7701",
            "fax_number": "888-696-9579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOSPICE OF ARDMORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "DELESTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-943-0903",
        "authorized_official_name_prefix": "Mr."
    },
    "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://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/SDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Gonzalez
• Sergio Gonzalez, CRNA
• Good Shepherd Community Clinic, Inc (Good Shepherd Community Clinic Pharmacy)
• Good Shepherd Community Clinic, Inc.
• Good Shepherd Community Clinic, Inc. (Good Shepherd Community Clinic Pharmacy Walnut)
• Josey Good
• Karli Goodwin
• Audra M Gordon, BACHELORS,CM
• Joshua Paul Gordon, D.O.
• Madeline Gordon

• Community Based Hospice Care Agency in Ardmore, OK
• Providers in Ardmore, 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 Apr 23, 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.