Family Choice Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAMILY CHOICE HOSPICE LLC

Doing business as

Complete Hospice Care

Practice address

3109 Azalea Park Dr
Muskogee, OK 74401-2284

Phone

(918) 933-5093

Fax

(918) 681-4995

NPI assigned

Aug 1, 2013

Last updated

Jun 23, 2023By 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

Lola Jane Edwards, RN

Title

Administrator

Phone

(918) 681-4988

Specialties & licenses 1

Addresses

Other names 1

• Complete Hospice Care 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 1740612761. Details of each certification follow.

• CCN 371710 Hospice · Active · Details

Hospice certification: CCN 371710

Legal name

FAMILY CHOICE HOSPICE LLC

Doing business as

COMPLETE HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 11, 2014

Last certification

Jan 6, 2021

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Jul 3, 2013 in OK

Enrollment address

3109 Azalea Park Dr
Muskogee, OK 74401-2284

Listed as

Complete Hospice CareCCN 371710 · All quality measures

Ownership

For-Profit

Certified

Sep 11, 2014

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 4

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

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Donald M Elgin, MD

  • Family Medicine Physician
  • Fort Gibson, OK
  • NPI 1790892529

  Contracted Managing Employee

  CMS ownership
• Farshid A Zandi, M.D

  • Hospitalist Physician
  • Muskogee, OK
  • NPI 1578510657

  Contracted Managing Employee

  CMS ownership
• Amy Wilson, D.O.

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

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 5

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

• Jordan Edward Brown, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tulsa, OK
  • NPI 1942464029
  Care Compare affiliation
• Donald M Elgin, MD

  • Family Medicine Physician
  • Fort Gibson, OK
  • NPI 1790892529

  Hospice

  Care Compare affiliation
• James M Ross, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tulsa, OK
  • NPI 1285605113
  Care Compare affiliation
• Farshid A Zandi, M.D

  • Hospitalist Physician
  • Muskogee, OK
  • NPI 1578510657

  Hospice

  Care Compare affiliation
• 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": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1740612761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012284",
            "telephone_number": "918-933-5093",
            "fax_number": "918-681-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012284",
            "telephone_number": "918-933-5093",
            "fax_number": "918-681-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHOICE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LOLA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-681-4988",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyemart Express, LTD.
• Charlotte K Fairchild, LCSW
• Faisal Wasi MD, PC
• Kimberly Lynn Faith
• Nancy Ann Falcon
• Alley Farmer, COTA
• Barry J Farmer, DDS
• Casey Farmer
• McKinzee Farmer
• Audra Brette Fast, RN

• Community Based Hospice Care Agency in Muskogee, OK
• Providers in Muskogee, 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 23, 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.