Kindful Hospice Sapulpa Tulsa, LLC
Organization Active NPI Community Based Hospice Care Agency · Tulsa, OK
NPI 1669964433 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1669964433
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- KINDFUL HOSPICE SAPULPA TULSA, LLC
- Practice address
- 8010 S 101St East Ave Ste 200
Tulsa, OK 74133-4562 - Phone
- (918) 512-8388
- Fax
- (918) 512-8460
- NPI assigned
- Jun 6, 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
-
Joel A Adkisson, D.O.
Member of 1
Facilities with the same owner 60
Affiliated clinicians 2
-
Joel A Adkisson, D.O.
Medicare Care Compare: Hospice
- Listed as
- Choice Health at Home - Sapulpa Tulsa Hospice
- Ownership
- For-Profit
- Certified
- Mar 18, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2094091 | Kindful Hospice Sapulpa Tulsa, LLC | Certificate of waiver | Apr 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Hospice certification: CCN 371714
- Legal name
- KINDFUL HOSPICE SAPULPA TULSA LLC
- Doing business as
- CHOICE HEALTH AT HOME - SAPULPA TULSA HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 18, 2016
- Last certification
- Mar 22, 2022
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC · Proprietary
- Incorporated
- May 24, 2018 in OK
- Enrollment address
- 8010 S 101St East Ave
Ste 200
Tulsa, OK 74133-4562
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Trive Capital CH Blocker LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 5% |
| Choice Health at Home Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
| Joel a Adkisson |
Contracted Managing Employee |
Nov 25, 2019 | |
| Katrina Lanier |
Corporate Officer | Dec 29, 2021 | |
| Operational/Managerial Control | Dec 29, 2021 | ||
| Tcfiii CH Investor LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 65.43% |
| Angela Wheeler |
W-2 Managing Employee |
Oct 1, 2024 | |
| David Jackson |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 9.69% |
| Operational/Managerial Control | Dec 29, 2021 | ||
| Kindful Hospice I, LLC |
5% Or Greater Direct Ownership Interest | Jun 30, 2018 | 100% |
| Choice Rehab Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Oct 23, 2023 | 8.93% |
| Katie Elizabeth Sandlin |
Operational/Managerial Control |
Jul 1, 2023 | |
| Tcfiii CH LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
| Choice Health at Home, LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 | 100% |
| Coltala Choice, LLC |
5% Or Greater Indirect Ownership Interest | Oct 23, 2023 | 16.61% |
| James Garner |
W-2 Managing Employee | May 12, 2020 | |
| Trive Capital Fund III LP |
5% Or Greater Indirect Ownership Interest | Oct 23, 2023 | 64.37% |
| Tcfiii CH SPV LP |
5% Or Greater Indirect Ownership Interest | Oct 23, 2023 | 35.63% |
| Choice Hospice of Oklahoma LLC |
5% Or Greater Indirect Ownership Interest | Dec 29, 2021 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jun 30, 2018 | Change of Ownership |
Kindful Hospice |
| Jun 30, 2018 | Change of Ownership |
Choice Health at Home - Sapulpa Tulsa Hospice |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190419000477 | OK | Part a Provider - Hospice | 9739432055 | Practice locations: Tulsa, OK; Bartlesville, OK |
National Provider Directory
Locations
1201 SE Frank Phillips Blvd
Bartlesville, OK 74003
Phone (918) 512-8388
2303 S York St
Ste B
Muskogee, OK 74403
Phone (918) 512-8388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
8010 S 101St East Ave Ste 200
Tulsa, OK 74133-4562
Mailing address
6760 Old Jacksonville Hwy Ste 101
Tyler, TX 75703-0566
Phone (903) 363-9932
Other practice location 1
2303 S York St Ste B
Muskogee, OK 74403-8876
Phone (918) 512-8388
Other names
- Choice Health at Home-Sapulpa Tulsa 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 Tulsa, OK
- Bridget Kincanon
- Brian David Kinder
- Gerald William Kinder
- Jason William Kinder
- Kiawanna Kinder
- Hailee M Kindley
- Brighton Anne Kindred
- Kindroot Doula Collective, Corp
- King Chiropractic PLLC
- Ariana King
All providers in Tulsa, 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.