HEARTLAND HOSPICE-SHAWNEE
NPI 1477679850
Hospice Care, Community Based in Shawnee, OK

Active since March 21, 2007
3700 N KICKAPOO AVE, SUITE 104, SHAWNEE, OK 74804(405) 214-6442(405) 214-6404 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heartland Hospice-shawnee NPPES

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

HEARTLAND HOSPICE-SHAWNEE (NPI 1477679850) is a healthcare organization registered as a hospice care, community based in Shawnee, Oklahoma and active in the NPI registry since March 2007. The organization lists Dovirn Dotson, Accounts Receivable Supervisor, as its authorized official.

NPPES Registry Identity

NPI1477679850
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHEARTLAND HOSPICE-SHAWNEE
Location Address3700 N KICKAPOO AVE, SUITE 104Shawnee, OK 74804-1707
Mailing Address333 N Summit StToledo, OH 43604-1531 · (800) 427-1902 · Fax (419) 254-5336
Fax(405) 214-6404
Organization SubpartNo
Authorized OfficialDovirn DotsonAccounts Receivable Supervisor · (800) 427-1902
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1477679850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
3700 N KICKAPOO AVE, Shawnee, OK 74804

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 37D1019915

Heartland Hospice (shawnee) New Century Hospice, Inc · Shawnee, OK
Expired · Dec 3, 2025
CLIA Number37D1019915
Laboratory TypeHospice
Certificate Effective DateDecember 4, 2023
Certificate Expiration DateDecember 3, 2025
Laboratory DirectorSelece Beasley
Laboratory Phone(704) 664-2876
Laboratory LocationHeartland Hospice (shawnee) New Century Hospice, Inc2802 North Kickapoo Ave, Shawnee, OK 74804
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
3700 N KICKAPOO AVE
SHAWNEE, OK 74804
Pharmacist
3700 N KICKAPOO AVE, SUITE 140
SHAWNEE, OK 74804
Family Medicine
3700 N KICKAPOO AVE, SUITE 124
SHAWNEE, OK 74804
Physician Assistant (Medical)
3700 N KICKAPOO AVE, SUITE 124
SHAWNEE, OK 74804
Radiology (Radiation Oncology)
3700 N KICKAPOO AVE, STE 108
OKLAHOMA CITY, OK 74804
Family Medicine
3700 N KICKAPOO AVE, STE 124
SHAWNEE, OK 74804
Internal Medicine (Cardiovascular Disease)
3700 N KICKAPOO AVE, SUITE 104
SHAWNEE, OK 74804
Internal Medicine
3700 N KICKAPOO AVE, SUITE 104
SHAWNEE, OK 74804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477679850, enumerated as an "organization" on March 21, 2007.

The provider is located at 3700 N KICKAPOO AVE SUITE 104 SHAWNEE, OK 74804 and the phone number is (405) 214-6442.

Hospice Care, Community Based with taxonomy code 251G00000X.