Organization Active NPI

Kindful Hospice Ada, LLC

Doing business as Choice Health at Home- Southeastern Oklahoma Hospice

  • Community Based Hospice Care Agency
  • Ada, OK
National Provider Identifier
1396238143
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KINDFUL HOSPICE ADA, LLC
Doing business as
Choice Health at Home- Southeastern Oklahoma Hospice
Practice address
117 S Broadway Ave
Ada, OK 74820-5801
Phone
(580) 332-6900
Fax
(580) 332-3969
NPI assigned
Jun 7, 2018
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Katie Sandlin
Title
Executive Director of Compliance
Phone
(903) 714-3439

Specialties & licenses 1

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

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 1

  • Choice Health at Home- Southeastern Oklahoma Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190208001494 OK Part A Provider - Hospice 4183962632 Practice locations: Ada, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396238143. Details of each certification follow.

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
LLCProprietary
Incorporated
May 24, 2018 in OK
Enrollment address
117 S Broadway Ave
Ada, OK 74820-5801

Care Compare: Hospice

Medicare Care Compare
Listed as
Choice Health at Home - Southeastern Oklahoma HospiceCCN 371629 · All quality measures
Ownership
For-Profit
Certified
Mar 16, 2004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Choice Health at Home Holdings, LLC Organization, Tyler, TX LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%
Katrina Lanier Individual Corporate OfficerCoo Dec 29, 2021
Tcfiii CH Investor LLC Organization, Dallas, TX LLC, Investment firm 5% Or Greater Indirect Ownership Interest Dec 29, 2021 65.43%
David Jackson Individual 5% Or Greater Indirect Ownership Interest Dec 29, 2021 8.94%
Corporate OfficerCeo Dec 29, 2021
Corporate Director Dec 29, 2021
Kindful Hospice I, LLC Organization, Ada, OK LLC 5% Or Greater Direct Ownership Interest Aug 1, 2018 100%
Choice Rehab Holdings, Inc. Organization, Tyler, TX Corporation 5% Or Greater Indirect Ownership Interest Dec 29, 2021 8.93%
Katie Elizabeth Sandlin Individual Operational/Managerial ControlExecutive Director of Compliance Jul 1, 2023
Tcfiii CH LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%
Jordan Landress Individual W-2 Managing EmployeeAd; Aug 6, 2025
Choice Health at Home, LLC Organization, Tyler, TX LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%
Marc J Davis Individual Contracted Managing EmployeeMD; Nov 1, 2019
Operational/Managerial ControlMedical Director Nov 1, 2019
Coltala Choice, LLC Organization, Fort Worth, TX LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 16.61%
Trive Capital Fund III LP Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Dec 29, 2021 42.11%
Tcfiii CH SPV LP Organization, Dallas, TX 5% Or Greater Indirect Ownership Interest Dec 29, 2021 23.31%
Choice Hospice of Oklahoma LLC Organization, Shawnee, OK LLC 5% Or Greater Indirect Ownership Interest Dec 29, 2021 100%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 60

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

View all 60

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2018 Change of OwnershipThis provider was the buyer McCortney Family Hospice, IncCCN 371629, OK, NPI 1962593301

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1396238143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 OLD JACKSONVILLE HWY STE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030566",
            "telephone_number": "903-363-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205801",
            "telephone_number": "580-332-6900",
            "fax_number": "580-332-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDFUL HOSPICE ADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "903-714-3439"
    },
    "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://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Choice Health at Home- Southeastern Oklahoma Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.