McCortney Family Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4168 Issued in OK

Legal business name

MCCORTNEY FAMILY HOSPICE, INC

Practice address

117 S Broadway Ave
Ada, OK 74820-5801

Phone

(580) 332-6900

Fax

(580) 332-3969

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Killen McCortney

Title

Administrator / President

Phone

(580) 332-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Kindful Hospice Ada, LLC

  • Community Based Hospice Care Agency
  • Ada, OK
  • NPI 1396238143

  Sold to, 2018-08-01

  CMS change of ownership

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1962593301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205801",
            "telephone_number": "580-332-6900",
            "fax_number": "580-332-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BROADWAY AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205801",
            "telephone_number": "580-332-6900",
            "fax_number": "580-332-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORTNEY FAMILY HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MCCORTNEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KILLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR / PRESIDENT",
        "authorized_official_telephone_number": "580-332-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul McCartney, P.T.
• Richard McClain, MD
• McCortney Drug Inc
• McCortney Family Home Health, Inc
• McCortney Family Home Health, Inc.
• Tera L McCullar, BA
• Carol McDaniel, DDS
• Jackie McDaniel
• Kara L McDaniel
• Danielle Elizabeth McDaris

• All providers in Ada, OK
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.