Guardian Angel Hospice, Inc

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

059 Issued in MS

Legal business name

GUARDIAN ANGEL HOSPICE, INC

Practice address

41 S Hall Rd
Morton, MS 39117-8057

Phone

(601) 732-8473

Fax

(601) 732-8037

NPI assigned

Feb 21, 2007

Last updated

Dec 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paulette H Butler, PHD

Title

Ceo

Phone

(601) 732-8473

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1053456459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S HALL RD",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391178057",
            "telephone_number": "601-732-8473",
            "fax_number": "601-732-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S HALL RD",
            "city": "MORTON",
            "state": "MS",
            "postal_code": "391178057",
            "telephone_number": "601-732-8473",
            "fax_number": "601-732-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-732-8473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MS",
            "license": "059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770357",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L French, RPH
• Hilda O'Rita French, RPH
• French's Pharmacy, Inc.
• Greenbush Emergency Physicians LLC
• Guardian Angel Homemaker Service
• Amber Gunn, F.N.P.
• Rebecca S Hamilton
• Thomas Kristopher Harrell, PHARMD
• Hospitalmd, Inc.
• Independent Healthcare Management, Inc. (Main Street Medical Clinic of Morton)

• Inpatient Hospice in Morton, MS
• Providers in Morton, MS by specialty
• Inpatient Hospice in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.