NPIMap

Organization Active NPI

Juniper Point Healthcare LLC

Doing business as Guardian Hospice Oklahoma

  • Community Based Hospice Care Agency
  • Calera, OK
National Provider Identifier
1982489548
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
JUNIPER POINT HEALTHCARE LLC
Doing business as
Guardian Hospice Oklahoma
Practice address
1055 N Service Rd
Calera, OK 74730-1806
Phone
(580) 434-6336
NPI assigned
Aug 30, 2023
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

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

Addresses

Primary practice location

1055 N Service Rd
Calera, OK 74730-1806

Mailing address

1055 N Service Rd
Calera, OK 74730-1806
Phone (580) 434-6336

Other names 1

  • Guardian Hospice Oklahoma Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220002739 OK Part A Provider - Hospice 9032569801 Practice locations: Durant, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982489548. Details of each certification follow.

Hospice certification: CCN 371712

Legal name
JUNIPER POINT HEALTHCARE LLC
Doing business as
GUARDIAN HOSPICE OF OKLAHOMA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 25, 2015
Last certification
Jan 5, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Enrollment address
2929 W University Blvd
Durant, OK 74701-2978

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Guardian Hospice of OklahomaCCN 371712 · All quality measures
Ownership
For-Profit
Certified
Apr 25, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2077957Guardian Hospice of Oklahoma2929 W University Blvd, Durant, OK 74701Certificate of waiverMay 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Guardian Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Robert Scott Myers Individual W-2 Managing EmployeeAd; May 10, 2024
Amanda Neline Hale Individual Contracted Managing EmployeeMD; Apr 23, 2026
W-2 Managing EmployeeMD; Apr 23, 2026
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2023 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brian W. Wayment Individual Corporate OfficerPresident / LLC Manager Nov 1, 2023
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Nov 1, 2023
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2023 100%
Amber Tueller Individual Corporate OfficerSecretary Apr 10, 2024
Elliot McMillan Individual Corporate OfficerVice President Apr 10, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the buyer Guardian Hospice of OklahomaCCN 371712, OK, NPI 1467876219

Change of ownership 1

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

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": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1982489548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N SERVICE RD",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "747301806",
            "telephone_number": "580-434-6336"
        },
        {
            "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": "JUNIPER POINT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Hospice Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calera, OK

Sources for this page

Verify at the official NPI Registry.