OrganizationActive
Lifeline Hospice, Inc.
NPI 1083619969 · Community Based Hospice Care Agency · Chickasha, OK
Provider details
- NPI number
- 1083619969
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Jeanis, Administrator(405) 224-4891
- License
- 4150 (OK)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2210 S 16th St
Chickasha, OK 73018-6432
Phone: (405) 222-2051
Fax: (405) 222-2151
Street-level locationGet directions
Mailing address
Po Box 1348
Chickasha, OK 73023-1348
Registry dates
- Enumerated
- 2005-06-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.