Kindful Hospice Ada, LLC
Organization Active NPI Community Based Hospice Care Agency · Ada, OK
NPI 1396238143 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1396238143
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- KINDFUL HOSPICE ADA, LLC
- Practice address
- 117 S Broadway Ave
Ada, OK 74820-5801 - Phone
- (580) 332-6900
- Fax
- (580) 332-3969
- NPI assigned
- Jun 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Katie Sandlin
- Title
- Executive Director of Compliance
- Phone
- (903) 714-3439
Owners & managing parties with NPI records 2
-
Marc J Davis, D.O.
Member of 1
Change of ownership 1
Facilities with the same owner 60
Affiliated clinicians 2
-
Marc J Davis, D.O.
-
Thomas S Ivan, DO
Medicare Care Compare: Hospice
- Listed as
- Choice Health at Home - Southeastern Oklahoma Hospice
- Ownership
- For-Profit
- Certified
- Mar 16, 2004
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Hospice certification: CCN 371629
- Legal name
- KINDFUL HOSPICE ADA LLC
- Doing business as
- CHOICE HEALTH AT HOME - SOUTHEASTERN OKLAHOMA HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 16, 2004
- Last certification
- Mar 11, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- May 24, 2018 in OK
- Enrollment address
- 117 S Broadway Ave
Ada, OK 74820-5801
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Choice Health at Home Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
| Katrina Lanier |
Corporate Officer |
Dec 29, 2021 | |
| Tcfiii CH Investor LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 65.43% |
| David Jackson |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 8.94% |
| Corporate Officer |
Dec 29, 2021 | ||
| Corporate Director | Dec 29, 2021 | ||
| Kindful Hospice I, LLC |
5% Or Greater Direct Ownership Interest | Aug 1, 2018 | 100% |
| Choice Rehab Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 8.93% |
| Katie Elizabeth Sandlin |
Operational/Managerial Control |
Jul 1, 2023 | |
| Tcfiii CH LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
| Jordan Landress |
W-2 Managing Employee |
Aug 6, 2025 | |
| Choice Health at Home, LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
| Marc J Davis |
Contracted Managing Employee |
Nov 1, 2019 | |
| Operational/Managerial Control |
Nov 1, 2019 | ||
| Coltala Choice, LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 16.61% |
| Trive Capital Fund III LP |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 42.11% |
| Tcfiii CH SPV LP |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 23.31% |
| Choice Hospice of Oklahoma LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2018 | Change of Ownership |
McCortney Family Hospice, Inc |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190208001494 | OK | Part a Provider - Hospice | 4183962632 | Practice locations: Ada, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
117 S Broadway Ave
Ada, OK 74820-5801
Mailing address
6760 Old Jacksonville Hwy Ste 101
Tyler, TX 75703-0566
Phone (903) 363-9932
Other names
- Choice Health at Home- Southeastern Oklahoma Hospice
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Ada, OK
- Elizabeth M Kilmer-Sterling
- Jang Kim
- Kimberly Kimmel
- David Kinback
- Kindful Care LLC
- Jessica King
- Tyler King
- Kyle Kingrey
- Virginia Pemberton Patton Kinkade
- Mark Kirkpatrick Jr.
All providers in Ada, 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 Jul 24, 2025. 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.