Active NPI
Ahava Hospice and Palliative Care of Indiana LLC
Doing business as Ahava Hospice
- Community Based Hospice Care Agency
- Westfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AHAVA HOSPICE AND PALLIATIVE CARE OF INDIANA LLC
- Doing business as
- Ahava Hospice
- Practice address
- 777 E Main St Ste 211
Westfield, IN 46074-5300 - Phone
- (317) 288-4029
- NPI assigned
- Jan 30, 2023
- Last updated
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Pruitt
- Title
- Ceo
- Phone
- (317) 919-4856
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
777 E Main St Ste 211
Westfield, IN 46074-5300
Mailing address
777 E Main St Ste 211
Westfield, IN 46074-5300
Phone (317) 288-4029
Other names 1
- Ahava Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250620000520 | IN | Part A Provider - Hospice | 7315459930 | Practice locations: Westfield, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1457067712. Details of each certification follow.
Hospice certification: CCN 151668
- Legal name
- AHAVA HOSPICE AND PALLIATIVE CARE OF INDIANA LLC
- Doing business as
- AHAVA HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 17, 2025
- Last certification
- Sep 24, 2025
- Organization structure
- LLC
- Enrollment address
- 777 E Main St
Ste 211
Westfield, IN 46074-5300
Care Compare: Hospice
Medicare Care Compare- Listed as
- Ahava Hospice
- Certified
- Oct 17, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ahava Hospice and Palliative Care LLC | 5% Or Greater Direct Ownership Interest | Feb 1, 2025 | 100% |
| Kari Haberman | Corporate Officer | Feb 1, 2025 | 50% |
| Anthony a Andres | W-2 Managing Employee | Jan 1, 2025 | 100% |
| Paul Pruitt | Corporate Officer | Feb 1, 2025 | 50% |
| Shannon F Cochenour | W-2 Managing Employee | Feb 1, 2026 | 100% |
| David Marx | 5% Or Greater Indirect Ownership Interest | Feb 1, 2025 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Mooresville, IN
- NPI 1720237704
W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1457067712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E MAIN ST STE 211",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460745300",
"telephone_number": "317-288-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E MAIN ST STE 211",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460745300",
"telephone_number": "317-288-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHAVA HOSPICE AND PALLIATIVE CARE OF INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-30",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-919-4856"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ahava Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.