Organization Active NPI

Sunshine Hospice, Inc

  • Community Based Hospice Care Agency
  • Tishomingo, OK
National Provider Identifier
1407954308
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
371615 Issued in OK
Legal business name
SUNSHINE HOSPICE, INC
Practice address
106 E Main St
Tishomingo, OK 73460-2338
Phone
(580) 371-3281
Fax
(580) 371-3283
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mr. Rex Donaldson
Title
Chief Executive Officer
Phone
(580) 208-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 371615 OK Primary

Addresses

Primary practice location

106 E Main St
Tishomingo, OK 73460-2338

Mailing address

1100 NE Lincoln Rd
Suite D
Idabel, OK 74745-2412
Phone (580) 208-2273

National Provider Directory

National Provider Directory

Locations

1100 NE Lincoln Rd
Ste D
Idabel, OK 74745
Phone (580) 208-2273

106 E Main St
Tishomingo, OK 73460
Phone (580) 371-3281

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1407954308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE LINCOLN RD",
            "address_2": "SUITE D",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747452412",
            "telephone_number": "580-208-2273",
            "fax_number": "580-208-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734602338",
            "telephone_number": "580-371-3281",
            "fax_number": "580-371-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "580-208-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "371615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.