NPIMap

Organization Active NPI

Companion Hospice LLC

  • Community Based Hospice Care Agency
  • Guthrie, OK
National Provider Identifier
1922007806
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4157 Issued in OK
Legal business name
COMPANION HOSPICE LLC
Practice address
1314 E Oklahoma Ave
Guthrie, OK 73044-3757
Phone
(405) 282-3980
Fax
(405) 282-3981
NPI assigned
Jul 21, 2005
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Mrs. Tandie Hastings
Title
President
Phone
(405) 282-6285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4157 OK Primary

Addresses

Primary practice location

1314 E Oklahoma Ave
Guthrie, OK 73044-3757

Mailing address

1314 E Oklahoma Ave
Guthrie, OK 73044-3757
Phone (405) 293-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030421000003 OK Part A Provider - Hospice 5698684587 Practice locations: Guthrie, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922007806. Details of each certification follow.

Hospice certification: CCN 371613

Legal name
COMPANION HOSPICE, LLC
Doing business as
COMPANION HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 22, 2003
Last certification
Sep 23, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Nov 5, 2002 in OK
Enrollment address
1314 East Oklahoma Avenue
Guthrie, OK 73044-3757

Care Compare: Hospice

Medicare Care Compare
Listed as
Companion Hospice, L.L.C.CCN 371613 · All quality measures
Ownership
For-Profit
Certified
May 22, 2003
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1008570Companion Hospice LLC1314 E Oklahoma, Guthrie, OK 73044Certificate of waiverJan 22, 2027

National Provider Directory

National Provider Directory

Locations

1261 E 33rd St
Edmond, OK 73013
Phone (405) 341-9751

901 S Bryant Ave
Ste D
Edmond, OK 73034
Phone (405) 341-9751

1314 E Oklahoma Ave
Guthrie, OK 73044
Phone (405) 282-3980

2302 W Noble Ave
Guthrie, OK 73044
Phone (405) 282-3980

Ownership & related parties

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.

NameRoleSinceShare
Tandie D Hastings Individual Corporate Officer Jan 18, 2008
Josh Chappell Individual W-2 Managing Employee Apr 1, 2024
Jeffery W Chappell Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2018 51%
Deborah Chappell Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2018 49%
JDC LLC Organization, Guthrie, OK LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2018 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 10

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

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1922007806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E OKLAHOMA AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443757",
            "telephone_number": "405-293-9000",
            "fax_number": "405-293-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E OKLAHOMA AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443757",
            "telephone_number": "405-282-3980",
            "fax_number": "405-282-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "TANDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-282-6285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.