Hospice of Northeast Oklahoma LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

4201 Issued in OK

Legal business name

HOSPICE OF NORTHEAST OKLAHOMA LLC

Practice address

3654 Camelot Dr
Bartlesville, OK 74006-7657

Phone

(918) 622-9281

Fax

(918) 513-7539

NPI assigned

Oct 3, 2011

Organization subpart

No

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

Authorized official

Name

Mark Rowe

Title

Ceo/President

Phone

(316) 260-9690

Specialties & licenses 1

Addresses

Other names 1

• Rivercross Healthcare Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospice certification: CCN 371663

Legal name

HOSPICE OF NORTHEAST OKLAHOMA LLC.

Doing business as

RIVERCROSS HEALTHCARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 2, 2005

Last certification

Jun 7, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

3654 Camelot Dr
Bartlesville, OK 74006-7657

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hospice of Northeast Oklahoma, LLC

  • Community Based Hospice Care Agency
  • Tulsa, OK
  • NPI 1780738484

  3577656792

  Same PAC ID

Listed as

Rivercross HealthcareCCN 371663

Ownership

For-Profit

Certified

Aug 2, 2005

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

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hospice of Northeast Oklahoma, LLC

  • Community Based Hospice Care Agency
  • Tulsa, OK
  • NPI 1780738484
  NPD tax ID

Locations

All disclosed owners & managing parties 4

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 3

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

• Michelle Olmstead, D.O.

  • Hospitalist Physician
  • Tulsa, OK
  • NPI 1215228440

  Contracted Managing Employee

  CMS ownership
• Rivercross Hospice L.L.C.

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1013157825

  Operational/Managerial Control

  CMS ownership
• Rivercross Hospice L.L.C.

  • Primary Care Nurse Practitioner
  • Wichita, KS
  • NPI 1316813363

  Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rikki R Sydebotham, D.C.

  • Chiropractor
  • Bartlesville, OK
  • NPI 1518290113
  NPD (past)
• Timothy Curtis Sydebotham Jr., DC

  • Chiropractor
  • Bartlesville, OK
  • NPI 1881907954
  NPD (past)

Affiliated clinicians 4

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

• Jack Howard Brown Jr., MD, DPM

  • Family Medicine Physician
  • Sand Springs, OK
  • NPI 1982699096

  Hospice

  Care Compare affiliation
• Ronald M. Eimen

  • Family Medicine Physician
  • Mannford, OK
  • NPI 1588756951

  Hospice

  Care Compare affiliation
• Hai Long Nguyen, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1316057326

  Hospice

  Care Compare affiliation
• Michelle Olmstead, D.O.

  • Hospitalist Physician
  • Tulsa, OK
  • NPI 1215228440

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780185600000",
    "number": "1992089460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781097",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672781097",
            "telephone_number": "918-622-9281",
            "fax_number": "918-270-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 CAMELOT DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067657",
            "telephone_number": "918-622-9281",
            "fax_number": "918-513-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NORTHEAST OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "316-260-9690"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OK",
            "license": "4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rivercross Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Lynne Holt
• Hope Hospice, LLC
• Kathy Hoppe, LMFT
• Frances Marie Horn, DO
• Morgan Danielle Horton
• Michael Blaine Hough, LCSW, MSW
• Mitzi Houser, LPC-SUPERVISED
• Lisa Hoyt
• Kelly Jane Huckleby
• Brittaney Huddleston

• All providers in Bartlesville, 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 May 31, 2026; 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.