Active NPI
Heaven and Earth Hospice LLC
Doing business as ACG Hospice
- Community Based Hospice Care Agency
- Grove, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 4164
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4164 | Other | OK | STATE LICENSE |
| 200108280A | Medicaid | OK | |
| 37D2051838 | Other | OK | CLIA WAIVER |
Other names 1
- ACG Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Feb 3, 2004
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2051838 | Acg Hospice | Certificate of waiver | Dec 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jordan Crumley | W-2 Managing Employee | Jul 17, 2023 | |
| Linden Capital Partners V-a LP | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 16.31% |
| Acg Intermediate, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Rep Coinvest III Agp Blocker, Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 28.41% |
| Troy Yarborough | Corporate Officer | Jul 17, 2023 | |
| Hayley Eby | W-2 Managing Employee | Jul 17, 2023 | |
| CDPQ Fonds 780, S.E.C | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 20.53% |
| Limited Partnership Interest | Jul 25, 2025 | 20.53% | |
| Acg Parent Holdings, LP | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Arrow Management Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Linden Investments III LP | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 14.33% |
| Rep Agp II Holdco, LP | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 28.23% |
| Acg Intermediary LLC | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Jennifer Anderson | W-2 Managing Employee | Aug 26, 2025 | |
| TVG HCSC Blocker, LLC | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 15.61% |
| Douglas Gene Cox | Contracted Managing Employee | Nov 1, 2020 | |
| Pamela a Duncan Owens | Corporate Officer | Jul 17, 2023 | |
| Rep Agp III Blocker, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 9.82% |
| Linden Capital Partners V LP | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 10.39% |
| Acg Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Rhonda Hamilton | Corporate Officer | Mar 1, 2025 | |
| Acg Acquisition 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.
-
- Emergency Medicine Physician
- Grove, OK
- NPI 1578543153
Contracted Managing Employee
Facilities with the same owner 32
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba ACG Hospice II
- Community Based Hospice Care Agency
- Oklahoma City, OK
- NPI 1669072070
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Elk City, OK
- NPI 1205251352
Acg Acquisition LLC, Arrow Management Holdings LLC, Rep Coinvest III Agp Blocker, Inc
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Overland Park, KS
- NPI 1316631021
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
- Community Based Hospice Care Agency
- Columbia, MO
- NPI 1255025953
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Creve Coeur, MO
- NPI 1366136061
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Lee's Summit, MO
- NPI 1922792621
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Birmingham, AL
- NPI 1114641925
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Houma, LA
- NPI 1831813641
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba Hospice of the Carolina Foothills
- Community Based Hospice Care Agency
- Forest City, NC
- NPI 1841904620
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba Agape Care Group
- Community Based Hospice Care Agency
- North Charleston, SC
- NPI 1033309877
Acg Acquisition LLC, Arrow Management Holdings LLC, Rep Coinvest III Agp Blocker, Inc
-
dba Georgia Hospice Care
- Community Based Hospice Care Agency
- Acworth, GA
- NPI 1568825909
Acg Acquisition LLC, Acg Buyer, Inc., Acg Intermediary LLC, Acg Intermediate, Inc., Acg Parent Holdings, LP, Arrow Management Holdings LLC, CDPQ Fonds 780, S.E.C, Linden Capital Partners V LP, Linden Capital Partners V-a LP, Linden Investments II
-
dba ACG Hospice
- Community Based Hospice Care Agency
- Chesapeake, VA
- NPI 1558981159
Acg Acquisition LLC, Arrow Management Holdings LLC, Rep Coinvest III Agp Blocker, Inc
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Woodward, OK
- NPI 1184739765
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.