Oldham Hospice Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OLDHAM HOSPICE SERVICES LLC

Practice address

519 E Main St
Stigler, OK 74462-2435

Phone

(918) 552-8066

Fax

(918) 967-9984

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Stoney Oldham

Title

Registered Nurse

Phone

(918) 552-8066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospice certification: CCN 371745

Legal name

OLDHAM HOSPICE SERVICES LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 21, 2024

Last certification

Nov 8, 2024

Organization structure

LLCProprietary

Enrollment address

519 E Main St
Stigler, OK 74462-2435

Listed as

Oldham Hospice Services LLCCCN 371745

Certified

Nov 21, 2024

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

All disclosed owners & managing parties 3

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

Affiliated clinicians 1

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

• Amy Wilson, D.O.

  • Internal Medicine Physician
  • Fort Smith, AR
  • NPI 1154776409

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1407533854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620396",
            "telephone_number": "918-552-8066",
            "fax_number": "918-967-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E MAIN ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622435",
            "telephone_number": "918-552-8066",
            "fax_number": "918-967-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDHAM HOSPICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "STONEY",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "918-552-8066"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kay Neal
• Casandra Elizabeth Newell
• Sadie Elizabeth Noah, PHARMD
• Oldham Home Care LLC
• Oldham Hospice Care LLC
• Osu Center for Health Sciences
• Carrie Jo Palmer
• David S Palmer
• Kristi L Palmer
• Amanda Parker

• Community Based Hospice Care Agency in Stigler, OK
• Providers in Stigler, 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 Jun 28, 2023; 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.