Organization Active NPI

Heaven and Earth Hospice LLC

Doing business as ACG Hospice

  • Community Based Hospice Care Agency
  • Grove, OK
National Provider Identifier
1982998878
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4164 Issued in OK
Legal business name
HEAVEN AND EARTH HOSPICE LLC
Doing business as
ACG Hospice
Practice address
1635 S Main St
Grove, OK 74344-5368
Phone
(918) 323-0100
Fax
(918) 323-0131
NPI assigned
Jun 8, 2011
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Pamela Duncan
Title
Cco
Phone
(800) 932-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4164 OK Primary

Addresses

Primary practice location

1635 S Main St
Grove, OK 74344-5368

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other identifiers 3

IdentifierTypeStateIssuer
4164OtherOKSTATE LICENSE
200108280AMedicaidOK
37D2051838OtherOKCLIA WAIVER

Other names 1

  • ACG Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000142 OK Part A Provider - Hospice 1052485703 1 other NPI on this enrollment
Practice locations: Tulsa, OK; Grove, OK; Muskogee, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982998878. Details of each certification follow.

Hospice certification: CCN 371623

Legal name
HEAVEN AND EARTH HOSPICE, LLC
Doing business as
ACG HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 3, 2004
Last certification
Apr 14, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 29, 2003 in MO
Enrollment address
1635 S Main St
Grove, OK 74344-5368

Care Compare: Hospice

Medicare Care Compare
Listed as
Acg HospiceCCN 371623 · All quality measures
Ownership
For-Profit
Certified
Feb 3, 2004
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
37D2051838Acg Hospice1635 S Main St, Grove, OK 74344Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

1635 S Main St
#451386
Grove, OK 74344

3 S Main St
Miami, OK 74354
Phone (918) 541-9325

9175 S Yale Ave
Ste 200
Tulsa, OK 74137
Phone (918) 251-6441

410 E Illinois Ave
Vinita, OK 74301
Phone (918) 256-8744

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Jordan Crumley Individual W-2 Managing Employee Jul 17, 2023
Linden Capital Partners V-a LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 16.31%
Acg Intermediate, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rep Coinvest III Agp Blocker, Inc Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.41%
Troy Yarborough Individual Corporate OfficerCeo Jul 17, 2023
Hayley Eby Individual W-2 Managing Employee Jul 17, 2023
CDPQ Fonds 780, S.E.C Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 20.53%
Limited Partnership Interest Jul 25, 2025 20.53%
Acg Parent Holdings, LP Organization, Wilmington, DE 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Arrow Management Holdings LLC Organization, Wilmington, DE LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Linden Investments III LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 14.33%
Rep Agp II Holdco, LP Organization, Charlotte, NC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.23%
Acg Intermediary LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Jennifer Anderson Individual W-2 Managing EmployeeAd;Hospice Administrator Aug 26, 2025
TVG HCSC Blocker, LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 15.61%
Douglas Gene Cox Individual Contracted Managing EmployeeMD; Nov 1, 2020
Pamela a Duncan Owens Individual Corporate OfficerCco Jul 17, 2023
Rep Agp III Blocker, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 9.82%
Linden Capital Partners V LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 10.39%
Acg Buyer, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rhonda Hamilton Individual Corporate OfficerChief Accounting Officer Mar 1, 2025
Acg Acquisition LLC Organization, Spartanburg, SC LLC 5% Or Greater Direct Ownership Interest Jul 25, 2025 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 32

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

View all 32

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1982998878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738",
            "fax_number": "888-847-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445368",
            "telephone_number": "918-323-0100",
            "fax_number": "918-323-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN AND EARTH HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "800-932-2738"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4164",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200108280A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "37D2051838",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACG Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACG Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.