NPIMap

Organization Active NPI

Guardian Hospice Care, LLC

Doing business as Guardian Hospice Care

  • Community Based Hospice Care Agency
  • Alexandria, LA
National Provider Identifier
1003995507
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GUARDIAN HOSPICE CARE, LLC
Doing business as
Guardian Hospice Care
Practice address
5503 John Eskew Blvd
Suite B & C
Alexandria, LA 71303-3725
Phone
(318) 484-4418
Fax
(318) 484-2732
NPI assigned
Nov 3, 2006
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mrs. Randy Belton
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

5503 John Eskew Blvd
Suite B & C
Alexandria, LA 71303-3725

Mailing address

5503 John Eskew Blvd
Suite B & C
Alexandria, LA 71303-3725
Phone (318) 484-4418

Other identifiers 1

IdentifierTypeStateIssuer
1001511MedicaidMS

Other names 1

  • Guardian Hospice Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000117 LA Part A Provider - Hospice 6800998675 Practice locations: Alexandria, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003995507. Details of each certification follow.

Hospice certification: CCN 191637

Legal name
GUARDIAN HOSPICE CARE, LLC
Doing business as
GUARDIAN HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 3, 2007
Last certification
Mar 19, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
5212 Rue Verdun
Alexandria, LA 71303-2575

Care Compare: Hospice

Medicare Care Compare
Listed as
Guardian Hospice Care,LLCCCN 191637 · All quality measures
Ownership
For-Profit
Certified
Apr 3, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1070756Guardian Hospice Care LLC5212 Rue Verdun, Alexandria, LA 71303Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

5212 Rue Verdun
Alexandria, LA 71303
Phone (318) 484-4418

5503 John Eskew Dr
Ste B
Alexandria, LA 71303
Phone (318) 484-4418

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Courtney L Gamburg Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2013 14.25%
Cenla Healthcare Ventures LLC Organization, Alexandria, LA For-profit 5% Or Greater Direct Ownership Interest Oct 5, 2006 15%
Irrv Property TR for the Quirk Children Organization, Ridgeland, MS 5% Or Greater Direct Ownership Interest Jul 31, 2018 15%
Julie a. Wray, RN, BSN, LLC Organization, Pineville, LA For-profit 5% Or Greater Direct Ownership Interest Sep 12, 2006 10%
Elton G Beebe Individual 5% Or Greater Indirect Ownership Interest Sep 12, 2006 40%
Kisatchie Industries LLC Organization, Winnfield, LA For-profit 5% Or Greater Direct Ownership Interest Sep 12, 2006 20%
Toni H Parkinson Individual Corporate OfficerPres/Admin System Inc Oct 15, 2015
David W Stallard Individual OtherManager Nov 1, 2023
Providence Care LLC Organization, Mandeville, LA LLC Operational/Managerial Control Nov 1, 2023
Julie a Wray Individual 5% Or Greater Indirect Ownership Interest Sep 12, 2006 10%
W-2 Managing EmployeeMember Sep 12, 2006
Teddy R & Susan R Burnum Price Inv TR Fbo Jacqueline E Price Et Al Organization, Winnfield, LA 5% Or Greater Indirect Ownership Interest Apr 30, 2009 20%
Bge Investments LLC Organization, Austin, TX For-profit 5% Or Greater Direct Ownership Interest Sep 12, 2006 40%
David J Guillot Individual OtherMedical Director Jan 1, 2007

Owners & managing parties with NPI records 1

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

Facilities with the same owner 44

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 44

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1003995507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 JOHN ESKEW BLVD",
            "address_2": "SUITE B & C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033725",
            "telephone_number": "318-484-4418",
            "fax_number": "318-484-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 JOHN ESKEW BLVD",
            "address_2": "SUITE B & C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033725",
            "telephone_number": "318-484-4418",
            "fax_number": "318-484-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "601-709-1408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001511",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.