Pentatwo LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4024 Issued in OK

Legal business name

PENTATWO LLC

Doing business as

Apex Hospice

Practice address

8241 S Walker Ave Ste 152
Oklahoma City, OK 73139-9464

Phone

(405) 848-3779

Fax

(405) 607-4678

NPI assigned

Sep 8, 2006

Last updated

Nov 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Lenn Charboneau

Title

Ceo

Phone

(405) 848-3779

Specialties & licenses 2

Addresses

Other names 1

• Apex Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730283953. Details of each certification follow.

• CCN 371522 Hospice · Active · Details

Hospice certification: CCN 371522

Legal name

PENTATWO LLC

Doing business as

APEX HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 16, 1993

Last certification

Jun 2, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Jul 17, 2017 in OK

Enrollment address

8241 S Walker Ave
Ste 152
Oklahoma City, OK 73139-9464

Listed as

Apex HospiceCCN 371522 · All quality measures

Ownership

For-Profit

Certified

Dec 16, 1993

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

Locations

All disclosed owners & managing parties 5

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

Change-of-ownership history 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shantharam Darbe, M.D.

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1700950268
  NPD (past)

Affiliated clinicians 1

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

• Brian D Whitson, MD

  • Pulmonary Disease Physician
  • Norman, OK
  • NPI 1053355073

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1730283953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8241 S WALKER AVE STE 152",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399464",
            "telephone_number": "405-848-3779",
            "fax_number": "405-607-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 S WALKER AVE STE 152",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399464",
            "telephone_number": "405-848-3779",
            "fax_number": "405-607-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTATWO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "CHARBONEAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-848-3779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4024",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "H4024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apex Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lashay Pennon
• Penny Lane Therapy LLC
• Jon R Penoi, L.A.D.C.
• Marah Leigh Pense, LPC
• Pentadoyen LLC (Apex Home Health)
• Katharine Pentecost, PA-C
• Kevin M Penwell, DO
• Deon Peoples
• Dorissenia Anntionette Peoples, AGNP
• Haley Peoples

• Community Based Hospice Care Agency in Oklahoma City, OK
• Providers in Oklahoma City, 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 Nov 7, 2019; 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.