Organization Active NPI

Abiding Hospice LLC

  • Community Based Hospice Care Agency
  • Oklahoma City, OK
National Provider Identifier
1205652906
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ABIDING HOSPICE LLC
Practice address
4323 NW 63Rd St Ste 215
Oklahoma City, OK 73116-1513
Phone
(405) 607-2302
Fax
(866) 403-3123
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Ms. Martha Case Burgess
Title
Senior V P of Operations
Phone
(405) 607-2302

Specialties & licenses 1

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

Addresses

Primary practice location

4323 NW 63Rd St Ste 215
Oklahoma City, OK 73116-1513

Mailing address

4323 NW 63Rd St Ste 232
Oklahoma City, OK 73116-1546
Phone (405) 607-2302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929001348 OK Part A Provider - Hospice 4688170772 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205652906. Details of each certification follow.

Hospice certification: CCN 371750

Legal name
ABIDING HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 19, 2025
Last certification
Nov 5, 2025
Organization structure
LLCProprietary
Enrollment address
4323 NW 63Rd St
Ste 215
Oklahoma City, OK 73116-1513

Care Compare: Hospice

Medicare Care Compare
Listed as
Abiding Hospice, LLCCCN 371750 · All quality measures
Certified
Nov 19, 2025
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
37D2328016Abiding Hospice LLC4323 63Rd St, Ste 215, Oklahoma City, OK 73116Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Locations

4323 NW 63rd St
Ste 215
Oklahoma City, OK 73116
Phone (405) 445-1290

4323 NW 63rd St
Ste 232
Oklahoma City, OK 73116
Phone (405) 607-2302

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
The Blarney Corporation Organization, Yukon, OK Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2025 9.12%
Karlee Bell Individual W-2 Managing EmployeeVP Operations Jan 1, 2025
Gavin Gray Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 24.5%
Molly Carlos Individual W-2 Managing EmployeeAd; Jan 1, 2025
Toni Scott Individual W-2 Managing EmployeeDirector of Nursing Jan 1, 2025
Brett Bell Individual 5% Or Greater Indirect Ownership InterestCeo Jan 1, 2025 24.5%
Corporate Management Solutions LLC Organization, Yukon, OK LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2025 14.4%
Gavin N Gray Trust of 2006 Organization, Austin, TX 5% Or Greater Indirect Ownership Interest Jan 1, 2025 10.39%
G4 Healthcare Holdings LP Organization, Austin, TX Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2025 18.91%
Abiding Hospice Holdings, LLC Organization, Oklahoma City, OK LLC, Holding company 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Dustin R Baker Individual Contracted Managing EmployeeMD; Nov 3, 2025
Primo Healthcare Holdings LLC Organization, Oklahoma City, OK LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2025 51%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1205652906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 NW 63RD ST STE 232",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161546",
            "telephone_number": "405-607-2302",
            "fax_number": "866-403-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 NW 63RD ST STE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161513",
            "telephone_number": "405-607-2302",
            "fax_number": "866-403-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIDING HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "CASE",
        "authorized_official_title_or_position": "SENIOR V P OF OPERATIONS",
        "authorized_official_telephone_number": "405-607-2302",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.