GUARDIAN ANGEL HEALTHCARE II, INC. (NPI# 1740833391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740833391 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HEALTHCARE II, INC. |
| Practice Address |
347 Magnolia Dr Raleigh MS 39153-6011 |
| Practice Telephone | 6017829997 |
| Practice Fax Number | 6017825655 |
| Mailing Telephone | 6017829997 |
| Mailing Fax Number | 6017825655 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | PAULETTE BUTLER (ADMINISTRATOR) |
| Authorized Official Telephone | 6017829997 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUARDIAN ANGEL HEALTHCARE II, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09156818 | 05 |
| Other Name | Type Code |
|---|---|
| Patients' Choice Medical Center of Smith county | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548315203 | Guardian Angel Healthcare II, Inc. | Legal Medicine | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2007-01-24 |
| Street Address |
347 MAGNOLIA DR |
| City | RALEIGH |
| State | MS |
| Zip Code | 39153-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548315203 | Guardian Angel Healthcare II, Inc. | Legal Medicine | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2007-01-24 |
| 1174820765 | Guardian Angel Healthcare Inc., II | Clinic/Center | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2011-02-17 |
| 1811181407 | Guardian Angel Healthcare Inc., II | General Acute Care Hospital | 347 Magnolia Dr, Raleigh, MS 39153 | 2007-08-28 |
| 1437298411 | Guardian Angel Healthcare Inc., II | General Acute Care Hospital | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780936740 | Heather Celeste Burt Jordan | Occupational Therapist | 309 Magnolia Road, Rolling Acres Retirement, Raleigh, MS 39153 | 2012-10-15 |
| 1831484609 | Lane Napier Baxter | Dentist | 226 Highway 18 West, Raleigh, MS 39153 | 2011-06-09 |
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
| 1386705705 | Phil Thompson | Family Medicine | 342 Magnolia Drive, Raleigh, MS 39153 | 2006-12-12 |
| 1962599696 | Bobby D Maddox | Dentist | 207 Sylvarena Ave., Raleigh, MS 39153 | 2006-10-06 |
| 1679660492 | Raleigh Dental Clinic | Dentist | 207 Sylvarena Ave, Raleigh, MS 39153 | 2006-10-05 |
| 1538278734 | Larry Franklin Gibson | Family Medicine | 202 Sylvarena Ave., Raleigh, MS 39153 | 2006-08-30 |
| 1285967653 | Guardian Angel Healthcare Inc., II | Psychiatric Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2009-09-16 |
| 1588853154 | Family Health Care Clinic, Inc. | Clinic/Center | 226 Whiteoak Ave, Raleigh, MS 39153 | 2007-10-19 |
| Find all providers in zip 39153 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1972579837 | Wakemed | Medicare Defined Swing Bed Unit | 3000 New Bern Ave, Raleigh, NC 27610-1295 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487863692 | Kilmichael Hospital | Medicare Defined Swing Bed Unit | 301 Lamar Ave, Kilmichael, MS 39747 | 2007-05-22 |
| 1972620292 | Yalobusha General Hospital | Medicare Defined Swing Bed Unit | 630 South Main Street, Water Valley, MS 38965-3468 | 2007-03-23 |
| 1659404770 | Patients Choice Medical Center of Humphreys County, LLC | Medicare Defined Swing Bed Unit | 500 C C C Rd, Belzoni, MS 39038-3806 | 2007-03-14 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1972538270 | Tippah County Hospital | Medicare Defined Swing Bed Unit | 1005 City Avenue North, Ripley, MS 38663-0499 | 2006-07-12 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1447253521 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345-2613 | 2005-05-23 |
| 1457979908 | Natchez Hospital Company LLC | Medicare Defined Swing Bed Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2020-07-10 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1245701531 | Monroe Health Services, Inc. | Medicare Defined Swing Bed Unit | 1105 Earl Frye Blvd., Amory, MS 38821-5500 | 2018-12-11 |
| 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.