Guardian Angel Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

050033851 Issued in IN

Legal business name

GUARDIAN ANGEL HOSPICE, INC.

Practice address

513 W Lincoln Rd
Kokomo, IN 46902-3418

Phone

(765) 453-7702

Fax

(765) 453-7858

NPI assigned

Apr 12, 2006

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Leslie Bever, RN

Title

Ceo

Phone

(765) 453-7702

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841254448. Details of each certification follow.

• CCN 151577 Hospice · Active · Details

Hospice certification: CCN 151577

Legal name

GUARDIAN ANGEL HOSPICE, INC.

Doing business as

GUARDIAN ANGEL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 10, 2002

Last certification

May 11, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 27, 2002 in IN

Enrollment address

513 West Lincoln Road
Kokomo, IN 46902-3418

Listed as

Guardian Angel Hospice IncCCN 151577 · All quality measures

Ownership

For-Profit

Certified

Dec 10, 2002

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Kathy Ann Ehler, NP-C

  • Adult Health Nurse Practitioner
  • Kokomo, IN
  • NPI 1386984789
  NPD (past)

Affiliated clinicians 36

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Samuel Herbert Anderson-Been, MD

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1134798838

  Hospice

  Care Compare affiliation
• Eric A Bannec, MD

  • Internal Medicine Physician
  • Bloomington, IN
  • NPI 1093710881

  Hospice

  Care Compare affiliation
• Stephen Robert Beck, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1174639249

  Hospice

  Care Compare affiliation
• Cherie A Bennett, M.D.

  • Internal Medicine Physician
  • Logansport, IN
  • NPI 1295715217

  Hospice

  Care Compare affiliation
• Victor D Bentinganan Jr., DO

  • Family Medicine Physician
  • Otterbein, IN
  • NPI 1306814538

  Hospice

  Care Compare affiliation
• Theodore W Brogan, MD

  • Internal Medicine Physician
  • Kokomo, IN
  • NPI 1639173438

  Hospice

  Care Compare affiliation
• James Thomas Croner, MD

  • Family Medicine Physician
  • Frankfort, IN
  • NPI 1780652958

  Hospice

  Care Compare affiliation
• Keven W. Dodt, M.D.

  • Family Medicine Physician
  • Lafayette, IN
  • NPI 1538187505

  Hospice

  Care Compare affiliation
• Jennifer Drancik, MD

  • Internal Medicine Physician
  • Peru, IN
  • NPI 1114960408

  Hospice

  Care Compare affiliation
• Timothy C Gatewood, MD

  • Internal Medicine Physician
  • Kokomo, IN
  • NPI 1891795050

  Hospice

  Care Compare affiliation
• Ryan Hancock, M.D.

  • Family Medicine Physician
  • Monticello, IN
  • NPI 1518354257

  Hospice

  Care Compare affiliation
• Ahrarul Haque, MD

  • Hospitalist Physician
  • Lagrange, IN
  • NPI 1881008647

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1841254448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023418",
            "telephone_number": "765-453-7702",
            "fax_number": "765-453-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023418",
            "telephone_number": "765-453-7702",
            "fax_number": "765-453-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "BEVER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-453-7702",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "050033851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200406660A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynne Gross, PTA
• Maeghan Grove, ACIT 1
• Brien N Grow, DO
• Mary Grubb, MSW, LCSW
• Alvin Guangco, PT
• Hailey Rochelle Guidi, MA, BCBA
• Hannah Guillaume
• Abhishek S Gujar
• Chelsea M Gustafson, PHARMD
• Alex Gutierrez, MD

• Community Based Hospice Care Agency in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.

Verify at the official NPI Registry.