Active NPI
Guardian Hospice Care Inc
- Community Based Hospice Care Agency
- Willow Grove, PA
National Provider Identifier
1972284859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GUARDIAN HOSPICE CARE INC
- Practice address
- 409 Easton Rd
Willow Grove, PA 19090-2529 - Phone
- (347) 598-3195
- NPI assigned
- Jul 25, 2023
- Last updated
- Jul 25, 2023
- 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
- Shulem Hammer
- Title
- Owner/President
- Phone
- (347) 598-3195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
409 Easton Rd
Willow Grove, PA 19090-2529
Mailing address
409 Easton Rd
Willow Grove, PA 19090-2529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240104002426 | PA | Part A Provider - Hospice | 6204287196 | Practice locations: Willow Grove, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972284859. Details of each certification follow.
Hospice certification: CCN 731516
- Legal name
- GUARDIAN HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 20, 2024
- Last certification
- Nov 8, 2024
- Ownership / control type
- Proprietary - Individual
- Organization structure
- Corporation
- Incorporated
- Jul 19, 2023 in PA
- Enrollment address
- 409 Easton Rd
Ste 200
Willow Grove, PA 19090
Care Compare: Hospice
Medicare Care Compare- Listed as
- Guardian Hospice Care, Inc.
- Certified
- Nov 20, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2295797 | Guardian Hospice Care Inc | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
409 Easton Rd
Willow Grove, PA 19090
Phone (267) 915-0261
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shulem Hammer | 5% Or Greater Direct Ownership Interest | Jul 19, 2023 | 100% |
| Corporate Officer | Jul 17, 2023 | 75% | |
| Corporate Director | Jul 19, 2023 | 100% | |
| Eric Bondo | W-2 Managing Employee | Jul 19, 2023 | 50% |
| Chana Hammer | Corporate Officer | Jul 17, 2023 | 25% |
| Nicole a del-Mese | W-2 Managing Employee | Jul 19, 2023 | 50% |
| John S Michel | W-2 Managing Employee | Jul 19, 2023 |
Practitioners & affiliated clinicians
Affiliated clinicians 20
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Narberth, PA
- NPI 1629015680
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Allentown, PA
- NPI 1558399717
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1972284859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 EASTON RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190902529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 EASTON RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190902529",
"telephone_number": "347-598-3195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "HAMMER",
"authorized_official_first_name": "SHULEM",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "347-598-3195"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.