Organization Active NPI

Guardian of Life LLC

  • Land Ambulance
  • Grinnell, IA
National Provider Identifier
1083556617
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GUARDIAN OF LIFE LLC
Practice address
606 Stagecoach Road Unit 3
Grinnell, IA 50112-8124
Phone
(877) 882-9911
NPI assigned
Apr 6, 2026
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
James Hicklin
Title
Ceo
Phone
(641) 481-5423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

606 Stagecoach Road Unit 3
Grinnell, IA 50112-8124

Mailing address

PO Box 478
Grinnell, IA 50112-0478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522002476 IA Part B Supplier - Ambulance Service Supplier 7315417037 Practice locations: Grinnell, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1083556617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 478",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 STAGECOACH ROAD UNIT 3",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501128124",
            "telephone_number": "877-882-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "HICKLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-481-5423"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.