Promisecare Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4219 Issued in OK

Legal business name

PROMISECARE HOSPICE INC

Practice address

6302 SW Lee Blvd
Lawton, OK 73505-9103

Phone

(580) 248-1405

Fax

(580) 248-8996

NPI assigned

Aug 16, 2006

Last updated

Jul 31, 2020By 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

Sam Ghosn

Title

Administrator

Phone

(580) 248-1405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

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

• A Path of Care Hospice V, LLC

  dba A Path of Care Promisecare Hospice

  • Community Based Hospice Care Agency
  • Weatherford, OK
  • NPI 1124807516

  Sold to, 2023-10-24

  CMS change of ownership

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1730292848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059103",
            "telephone_number": "580-248-1405",
            "fax_number": "580-248-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059103",
            "telephone_number": "580-248-1405",
            "fax_number": "580-248-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISECARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "GHOSN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-248-1405"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lashun Price
• Shadia Pride
• Primary Vision Care Servics, Inc. (PVCS)
• Kristy Prince, MS, LPC
• Nanje Prinsloo, RBT
• Prompt Care Clinic LLC
• Prompt Care, P.C.
• Taylor Dawn Prosser, MS
• Provide Hearing AIDS
• Providence Service Corporation

• Community Based Hospice Care Agency in Lawton, OK
• Providers in Lawton, 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 Jul 31, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.