GUARDIAN ANGEL HEALTHCARE, INC. (NPI# 1134264542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134264542 |
| Entity Type | Organization |
| Organization Name | GUARDIAN ANGEL HEALTHCARE, INC. |
| Practice Address |
6434 Dale Dr Marion MS 39342-8704 |
| Mailing Address |
41 S Hall Rd Morton MS 39117-8057 |
| Practice Telephone | 6014825606 |
| Practice Fax Number | 6014827801 |
| Mailing Telephone | 6017328473 |
| Mailing Fax Number | 6017328037 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| 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 | 314000000X | Skilled Nursing Facility | 1196 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00230168 | 05 |
| Street Address |
6434 DALE DR |
| City | MARION |
| State | MS |
| Zip Code | 39342-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205178084 | Sara Bowden | Physical Therapy Assistant | 6434 Dale Dr, Marion, MS 39342-8704 | 2013-03-20 |
| 1558624262 | Terry Allen | Speech-Language Pathologist | 6434 Dale Dr, Marion, MS 39342-8704 | 2012-06-18 |
| 1003176587 | Sheila Elizabeth Brewer | Speech-Language Pathologist | 6434 Dale Dr, Marion, MS 39342-8704 | 2012-05-18 |
| 1396014379 | Kimberly Sessions | Occupational Therapist | 6434 Dale Dr, Marion, MS 39342-8704 | 2011-12-21 |
| 1013286210 | Arthur N. Taylor | Physical Therapy Assistant | 6434 Dale Dr, Marion, MS 39342-8704 | 2011-12-19 |
| 1497022727 | Krystal Wolfe | Occupational Therapy Assistant | 6434 Dale Dr, Marion, MS 39342-8704 | 2011-12-01 |
| 1356619688 | Jill Hickman | Occupational Therapist | 6434 Dale Dr, Marion, MS 39342-8704 | 2011-12-01 |
| 1992073282 | Elizabeth Mckenzie | Occupational Therapist | 6434 Dale Dr, Marion, MS 39342-8704 | 2011-12-01 |
| 1215204342 | Jessica Fisher | Physical Therapy Assistant | 6434 Dale Dr, Marion, MS 39342-8704 | 2011-11-17 |
| 1891083259 | Jessica Reynolds | Physical Therapy Assistant | 6434 Dale Dr, Marion, MS 39342-8704 | 2011-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528333689 | Marion Discount Drugs | Pharmacy | 5332 Dale Drive, Marion, MS 39342 | 2012-03-21 |
| 1770862450 | Rush Care, Inc. | Nurse Practitioner | 5334 Dale Drive, Marion, MS 39342 | 2011-08-11 |
| 1306042270 | Pamela Denise Williams | Counselor | 736 Alamutcha St, Marion, MS 39342-8701 | 2007-06-26 |
| 1215170832 | Bedford Care Center of Marion, LLC | Skilled Nursing Facility | 6434a Dale Dr, Marion, MS 39342-8704 | 2009-04-13 |
| 1306445309 | Teresa Nicole Worthy | Counselor | 6690 Rose Ln # B, Marion, MS 39342-9201 | 2020-10-21 |
| 1992960306 | Tracie Lynn Johnson | Speech-Language Pathologist | 6304 Koosa Dr, Marion, MS 39342-9458 | 2008-07-24 |
| 1710130943 | Jennifer P Lafferty | Nurse Practitioner | 5334 Dale Dr, Marion, MS 39342-9604 | 2008-10-31 |
| 1669812962 | Kemper, Cah, Inc. | Clinic/Center | 5334 Dale Dr, Marion, MS 39342-9604 | 2013-07-01 |
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1639680572 | Senior Care of Marion LLC | Skilled Nursing Facility | 2770 S Highway 501, Marion, SC 29571-7854 | 2017-10-18 |
| 1568735694 | Major Hospital | Skilled Nursing Facility | 614 W 14th Street, Marion, IN 46953-2158 | 2012-02-21 |
| 1215170832 | Bedford Care Center of Marion, LLC | Skilled Nursing Facility | 6434a Dale Dr, Marion, MS 39342-8704 | 2009-04-13 |
| 1114002227 | Southland Nursing Home, LLC | Skilled Nursing Facility | 500 Shivers Ter, Marion, AL 36756-3534 | 2006-10-26 |
| 1699856724 | Marion Nursing Center,inc | Skilled Nursing Facility | 2770 South Highway 501, Marion, SC 29571 | 2006-10-17 |
| 1598866063 | Orion Marion LLC | Skilled Nursing Facility | 201 Watson St, Marion, KY 42064-1824 | 2006-09-26 |
| 1922103589 | Marion Rehabilitation and Nursing Center,llc | Skilled Nursing Facility | 1301 E Deyoung St, Marion, IL 62959-3846 | 2006-09-14 |
| 1396856829 | Perry Cty Hospital Assn | Skilled Nursing Facility | 505 E Lafayette St, Marion, AL 36756-2323 | 2006-08-31 |
| 1982711321 | Riverview Hospital | Skilled Nursing Facility | 729 W 35th St, Marion, IN 46953-4215 | 2006-08-23 |
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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.