NPIMap

Organization Active NPI

Lisa Johns LLC

Doing business as Guardian Hospice of Oklahoma

  • Community Based Hospice Care Agency
  • Calera, OK
National Provider Identifier
1467876219
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LISA JOHNS LLC
Doing business as
Guardian Hospice of Oklahoma
Practice address
1055 N Service Rd
Calera, OK 74730-1806
Phone
(580) 434-6336
NPI assigned
Feb 14, 2014
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Lisa Wilson
Title
Managing Partner
Phone
(903) 815-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1055 N Service Rd
Calera, OK 74730-1806

Mailing address

614 N Travis St
Sherman, TX 75090-4949
Phone (903) 868-0267

Other names 1

  • Guardian Hospice of Oklahoma Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the seller Guardian Hospice of OklahomaCCN 371712, OK, NPI 1982489548

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1467876219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N TRAVIS ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750904949",
            "telephone_number": "903-868-0267",
            "fax_number": "903-868-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N SERVICE RD",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747301806",
            "telephone_number": "580-434-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA JOHNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "903-815-5112"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Hospice of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calera, OK

Sources for this page

Verify at the official NPI Registry.