Organization Active NPI

Ahava Hospice and Palliative Care of Indiana LLC

Doing business as Ahava Hospice

  • Community Based Hospice Care Agency
  • Westfield, IN
National Provider Identifier
1457067712
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
777 E Main St
Ste 211
Westfield, IN 46074-5300

Care Compare: Hospice

Medicare Care Compare
Listed as
Ahava HospiceCCN 151668 · All quality measures
Certified
Oct 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Ahava Hospice and Palliative Care LLC Organization, Westfield, IN LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2025 100%
Kari Haberman Individual Corporate OfficerVP of Home Health & Hospice Feb 1, 2025 50%
Anthony a Andres Individual W-2 Managing EmployeeMD; Jan 1, 2025 100%
Paul Pruitt Individual Corporate OfficerCeo Feb 1, 2025 50%
Shannon F Cochenour Individual W-2 Managing EmployeeAd; Feb 1, 2026 100%
David Marx Individual 5% Or Greater Indirect Ownership InterestSole Owner 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.

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

Verify at the official NPI Registry.