LIFELINE HOSPICE, INC.
NPI 1083619969
Hospice Care, Community Based in Chickasha, OK

Active since June 16, 2005CLIA 37D1001866 · Waiver
2210 S 16TH ST, CHICKASHA, OK 73018(405) 222-2051(405) 222-2151 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lifeline Hospice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFELINE HOSPICE, INC. (NPI 1083619969) is a healthcare organization registered as a hospice care, community based in Chickasha, Oklahoma and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Kelly D Jeanis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083619969
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLIFELINE HOSPICE, INC.
Location Address2210 S 16TH STChickasha, OK 73018-6432
Mailing AddressPo Box 1348Chickasha, OK 73023-1348 · (405) 222-2051 · Fax (405) 222-2151
Fax(405) 222-2151
Organization SubpartNo
Authorized OfficialKelly D JeanisAdministrator · (405) 224-4891
Enumeration DateJune 16, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1083619969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in OK · 4150
2210 S 16TH ST, Chickasha, OK 73018

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1001866

Lifeline Hospice, Inc · Chickasha, OK
Active · expires Jul 22, 2028
CLIA Number37D1001866
Laboratory TypeHospice
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorKelly D. Jeanis
Laboratory Phone(405) 222-2051
Laboratory LocationLifeline Hospice, Inc1701 West Iowa, Chickasha, OK 73018
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Lifeline Hospice, Inc. (CMS certification number 371611), from CMS Care Compare.

Lifeline Hospice, Inc.

Hospice · Chickasha, OK
OwnershipFor-Profit
CMS Certification Number371611
CMS RegionRegion 6
Medicare-Certified SinceDecember 18, 2002
Average Daily Census37patients per day on average
Location1701 West IowaChickasha, OK 73018 · Grady County
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home50%
Assisted living facility23%
Nursing facility26%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations1%
Patients with cancer
22%
Patients with dementia
17%
Patients with circulatory or heart disease
29%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
77 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
77 patient stays
97.4%
Hospice and Palliative Care Pain Screening
77 patient stays
92.2%
Hospice and Palliative Care Dyspnea Screening
77 patient stays
98.7%
Hospice and Palliative Care Dyspnea Treatment
53 patient stays
96.2%
Hospice and Palliative Care Composite Process Measure
77 patient stays
87%
Hospice Visits in the Last Days of Life
117 patient stays
38.5%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
6/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 45
51.6%
Early live discharges
National percentile 19
0%
Late live discharges
National percentile 92
61.5%
Burdensome transitions, Type 1
National percentile 56
7.7%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 68
$19,889
Nurse care minutes per routine home care days
National percentile 10
8.1 minutes
Skilled nursing minutes on weekends
National percentile 8
3.9%
Visits near death
National percentile 90
98.5%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifeline Hospice, Inc.'s NPI number?

The NPI number for Lifeline Hospice, Inc. is 1083619969. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Lifeline Hospice, Inc. located?

Lifeline Hospice, Inc. is located at 2210 S 16th St, Chickasha, OK 73018. The listed phone number is (405) 222-2051.

What is Lifeline Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Lifeline Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1001866) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lifeline Hospice, Inc. a Medicare-certified hospice?

Yes. Lifeline Hospice, Inc. is a Medicare-certified hospice (CMS certification number 371611), certified since December 18, 2002.

What insurance does Lifeline Hospice, Inc. accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Lifeline Hospice, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifeline Hospice, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.