Guardian Home Care, Inc
Organization Active NPI Community Based Hospice Care Agency · Fruitland, ID
NPI 1154470490 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1154470490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- GUARDIAN HOME CARE, INC
- Practice address
- 435 S Whitley Dr
Fruitland, ID 83619-2542 - Phone
- (208) 452-4972
- Fax
- (208) 452-4974
- NPI assigned
- Jan 9, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ENHABIT, INC.
Authorized official
- Name
- Lisa M Arbuckle
- Title
- Director, Licensing & Enrollment
- Phone
- (214) 239-6500
Owners & managing parties with NPI records 12
-
Brett C Johnson, D.O.
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 6
Member of 1
Member organizations 3
Facilities with the same owner 197
Affiliated clinicians 2
-
Brett C Johnson, D.O.
Medicare Care Compare: Hospice
- Listed as
- Enhabit Hospice of Idaho
- Ownership
- For-Profit
- Certified
- Jul 17, 2002
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Hospice certification: CCN 131540
- Legal name
- GUARDIAN HOME CARE, INC.
- Doing business as
- ENHABIT HOSPICE OF IDAHO
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 17, 2002
- Last certification
- Aug 14, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 435 S Whitley Dr
Fruitland, ID 83619-2542
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Tanya R Marion |
Corporate Officer |
Jul 1, 2022 | |
| Enhabit Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 100% |
| 8 Knots Management, LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 8.81% |
| Eh Home Health of the West, LLC |
5% Or Greater Indirect Ownership Interest | Feb 8, 2012 | 100% |
| Deerfield Management Company LP |
5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 9.97% |
| Brett C Johnson |
W-2 Managing Employee |
Oct 1, 2023 | |
| Blackrock Inc |
5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 7.8% |
| Collin S McQuiddy |
Corporate Officer |
Aug 5, 2024 | |
| Barbara a Jacobsmeyer |
Corporate Officer |
Jun 21, 2021 | |
| Operational/Managerial Control |
Jan 1, 2023 | ||
| Sarah W Braley |
Corporate Officer |
Feb 22, 2023 | |
| Julie D Jolley |
Corporate Officer |
Jun 4, 2021 | |
| Vanguard Group Inc |
5% Or Greater Indirect Ownership Interest | Dec 31, 2024 | 5.91% |
| Enhabit Inc |
5% Or Greater Indirect Ownership Interest | Dec 31, 2014 | 100% |
| Wells Fargo Bank, N.a. |
5% Or Greater Security Interest | Jun 30, 2022 | 100% |
| Advanced Homecare Management LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2014 | 100% |
| Holli D Watson |
W-2 Managing Employee |
Apr 25, 2024 | |
| Dylan C Black |
Corporate Officer | Feb 22, 2023 | |
| Jeanne L Kalvaitis |
Corporate Officer |
Jul 1, 2022 | |
| Idaho Homecare Holdings, Inc |
5% Or Greater Direct Ownership Interest | Jan 31, 2009 | 100% |
| Ryan T Solomon |
Corporate Officer |
Dec 9, 2024 | |
| Jared R Helms |
Contracted Managing Employee |
Sep 25, 2016 | |
| Sean P Richardson |
Corporate Officer |
Feb 22, 2023 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Enhabit Home Health of Western Idaho |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jun 22, 2009 |
| Enhabit Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2016 |
| Enhabit Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030820000038 | ID | Part a Provider - Hospice | 7810808334 | Practice locations: Twin Falls, ID; Fruitland, ID |
National Provider Directory
- Tax ID family
- Guardian Home Care Inc
Locations
1411 Falls Ave E
Ste 815
Twin Falls, ID 83301
Phone (208) 733-8600
Interoperability endpoints
- enhabit.hospice.id.frh@direct.hchb.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
435 S Whitley Dr
Fruitland, ID 83619-2542
Mailing address
6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010153410 | Other | ID | REGENCE OF IDAHO |
| H0372 | Other | ID | BLUE CROSS |
| 806662800 | Medicaid | ID |
Other names
- Enhabit Hospice of Idaho
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ENHABIT.HOSPICE.ID.FRH@DIRECT.HCHB.COM | Health Information Exchange (HIE) |
Other providers in Fruitland, ID
- Billy J Galligar
- Colleen E Gardner
- Golden Mountain Wellness LLC
- Good Life Physical Therapy PLLC
- Theodore Gross
- Curtis J Guiles
- Sean P Hackett
- Craig L Hamann
- Nicholas Cole Hartley
- Tea Hasanovic
All providers in Fruitland, ID · Community Based Hospice Care Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.