Healthcare Provider Details

I. General information

NPI: 1801831664
Provider Name (Legal Business Name): SOONER HOSPICE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E MEMORIAL RD STE D1
OKLAHOMA CITY OK
73114-2218
US

IV. Provider business mailing address

6760 OLD JACKSONVILLE HWY STE 101
TYLER TX
75703-0566
US

V. Phone/Fax

Practice location:
  • Phone: 405-608-0555
  • Fax: 405-708-6236
Mailing address:
  • Phone: 855-485-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberH04236
License Number StateOK

VIII. Authorized Official

Name: KATIE ELIZABETH SANDLIN
Title or Position: EXECUTIVE DIRECTOR OF COMPLIANCE
Credential: RN
Phone: 903-714-3439