GUARDIAN ANGEL HOSPICE, INC (NPI# 1053456459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053456459 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HOSPICE, INC |
| Practice Address |
41 S Hall Rd Morton MS 39117-8057 |
| Practice Telephone | 6017328473 |
| Practice Fax Number | 6017328037 |
| Mailing Telephone | 6017328473 |
| Mailing Fax Number | 6017328037 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | DR. PAULETTE H BUTLER (CEO) |
| Authorized Official Telephone | 6017328473 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | 059 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770357 | 05 |
| Street Address |
41 S HALL RD |
| City | MORTON |
| State | MS |
| Zip Code | 39117-8057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220343 | Rebecca S Hamilton | Technician | 1306 Lindsey Rd, 6824 Hwy 13 South, Morton, MS 39117 | 2019-11-19 |
| 1548617293 | Telehealthone LLC | Nurse Practitioner | 5186 Hwy 80, Morton, MS 39117 | 2016-05-23 |
| 1003166117 | Scott Regional Medical Center, Inc. | Midwife | 321 Hwy 13 South, Morton, MS 39117 | 2012-09-17 |
| 1508045873 | New Outlooks Adult Day Services Inc | Homemaker | 4197 Hwy 80, Morton, MS 39117 | 2007-11-02 |
| 1578789616 | Jamie Eichelberger Ross | Dentist | 233 Woodland St, Morton, MS 39117-0019 | 2007-04-17 |
| 1851613509 | New Outlooks Adult Day Services, Inc. | Clinic/Center | 4197 Highway 80, Morton, MS 39117-3306 | 2010-02-23 |
| 1437569761 | Mississippi State Department of Health | Public Health or Welfare | 235 Highway 13 S, Morton, MS 39117-3313 | 2014-05-08 |
| 1871710715 | Cook Wholesale Co Inc | Durable Medical Equipment & Medical Supplies | 162 Highway 13 S, Morton, MS 39117-3352 | 2007-04-20 |
| 1720322027 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 321 Highway 13 South, Morton, MS 39117-3353 | 2012-11-27 |
| 1992868509 | Hospitalmd, Inc. | Internal Medicine | 317 Highway 13 S, Morton, MS 39117-3353 | 2006-12-18 |
| Find all providers in zip 39117 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699397299 | Shepherd Hospice, LLC | Hospice, Inpatient | 106 W Bankhead St, New Albany, MS 38652-3313 | 2020-05-18 |
| 1871889964 | Holistic Care Hospice of Jackson LLC | Hospice, Inpatient | 1757 University Blvd, 3, Jackson, MS 39204-3916 | 2011-06-27 |
| 1184924318 | Hospice Providers, LLC | Hospice, Inpatient | 402 5th Ave Sw, Magee, MS 39111-3950 | 2010-10-21 |
| 1104043116 | Seyah Hospice Care, Inc. | Hospice, Inpatient | 813 West Grand Avenue, Inverness, MS 38753 | 2007-04-19 |
| 1427189570 | St. Johns Hospice of Mississippi, Inc. | Hospice, Inpatient | 106 Ruby Avenue, Ruleville, MS 38771 | 2007-03-08 |
| 1043258478 | Aseracare Hospice - Meridian, LLC | Hospice, Inpatient | 4825 Poplar Springs Dr, Meridian, MS 39305-2625 | 2006-06-04 |
| 1508804410 | Aseracare Hospice - New Albany, LLC | Hospice, Inpatient | 303 State Highway 30 W, New Albany, MS 38652-2402 | 2006-06-03 |
| 1962460568 | North Delta Hospice and Palliative Services,llc | Hospice, Inpatient | 520 Goodman Rd E, Southaven, MS 38671-9526 | 2006-05-03 |
| 1427392919 | North Mississippi Medical Center, Inc. | Hospice, Inpatient | 830 S Gloster St, 5 South, Tupelo, MS 38801-4934 | 2012-11-21 |
| 1518267442 | Hospice Providers, LLC | Hospice, Inpatient | 242 Thaggard Rd, Carthage, MS 39051-9517 | 2010-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.