Ahava Hospice and Palliative Care of Indiana LLC
Organization Active NPI Community Based Hospice Care Agency · Westfield, IN
NPI 1457067712 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1457067712
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- AHAVA HOSPICE AND PALLIATIVE CARE OF INDIANA LLC
- Practice address
- 777 E Main St Ste 211
Westfield, IN 46074-5300 - Phone
- (317) 288-4029
- NPI assigned
- Jan 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Paul Pruitt
- Title
- Ceo
- Phone
- (317) 919-4856
Owners & managing parties with NPI records 1
-
Anthony A Andres, MD
Affiliated clinicians 1
-
Anthony A Andres, MD
Medicare Care Compare: Hospice
- Listed as
- Ahava Hospice
- Certified
- Oct 17, 2025
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
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 · Proprietary
- Enrollment address
- 777 E Main St
Ste 211
Westfield, IN 46074-5300
All disclosed owners & managing parties 6
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250620000520 | IN | Part a Provider - Hospice | 7315459930 | Practice locations: Westfield, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Ahava Hospice
Other providers in Westfield, IN
- Madeline Adams
- Agape Care LLC
- Courtney Rebecca Agarwal
- Age Well Indiana Inc
- Alison Aguilar
- Ahava Hospice and Palliative Care of Ohio LLC
- Mary Katherine Aizpuru
- Felix Tunde Akinmade
- Albright ABA LLC
- Nathan Allen Albright
All providers in Westfield, IN · Community Based Hospice Care Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. 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.