Provider Demographics
NPI:1275190282
Name:OURKANSAS GUARDIAN HOSPICE LLC
Entity type:Organization
Organization Name:OURKANSAS GUARDIAN HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:AKIDIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-448-4250
Mailing Address - Street 1:9415 E HARRY ST STE 606
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5082
Mailing Address - Country:US
Mailing Address - Phone:316-448-4250
Mailing Address - Fax:
Practice Address - Street 1:9415 E HARRY ST STE 606
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5082
Practice Address - Country:US
Practice Address - Phone:316-448-4250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based