Neighborhood Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4283 Issued in OK

Legal business name

NEIGHBORHOOD HOSPICE, LLC

Doing business as

Complete Hospice Care of Southern Oklahoma

Practice address

1 SW 11TH St Ste 120
Lawton, OK 73501-3850

Phone

(580) 746-2595

Fax

(580) 746-2578

NPI assigned

Mar 2, 2009

Last updated

Oct 12, 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

(803) 516-5655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Complete Hospice Care of Southern Oklahoma 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 1861632978. Details of each certification follow.

• CCN 371701 Hospice · Active · Details

Hospice certification: CCN 371701

Legal name

NEIGHBORHOOD HOSPICE, LLC

Doing business as

COMPLETE HOSPICE CARE OF SOUTHERN OKLAHOMA

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 30, 2013

Last certification

Apr 19, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

1 SW 11TH St
Ste 120
Lawton, OK 73501-3850

Listed as

Complete Hospice Care of Southern OklahomaCCN 371701 · All quality measures

Ownership

For-Profit

Certified

May 30, 2013

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 2

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 1

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

• Deacon Vice, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1073934352

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Jennifer Iris James, MD

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1801156609

  Hospice

  Care Compare affiliation
• Kanwardeep Singh, MD

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1477713378

  Hospice

  Care Compare affiliation
• Deacon Vice, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1073934352

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1861632978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 S HUDSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373576",
            "telephone_number": "580-746-2595",
            "fax_number": "580-746-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 11TH ST STE 120",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013850",
            "telephone_number": "580-746-2595",
            "fax_number": "580-746-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "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": "803-516-5655",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "HO4283",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Hospice Care of Southern Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Hospice Care of Southern Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patience Ndekwe
• Vanessa Neal
• Sandra Nealis, RN
• Christy Neel
• Holly Neff
• Cayla M Nelson
• Donovan D Nelson, PT, DPT
• Jaynee Marie Nelson, LPC, LADC/MH
• Zachery William Nemcek, RBT
• Neo Kidney Care PLLC

• 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 Oct 12, 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.