NPIMap

Organization Active NPI

Hoosier Uplands Economic Development Corporation

Doing business as Hoosier Uplands Hospice

  • Community Based Hospice Care Agency
  • Mitchell, IN
National Provider Identifier
1003815747
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
050094891 Issued in NU
Legal business name
HOOSIER UPLANDS ECONOMIC DEVELOPMENT CORPORATION
Doing business as
Hoosier Uplands Hospice
Practice address
500 W. Main Street
Mitchell, IN 47446-1411
Phone
(812) 849-4447
NPI assigned
Jul 15, 2005
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Mr. David L. Miller
Title
Ceo
Phone
(812) 849-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 050094891 NU Primary

Addresses

Primary practice location

500 W. Main Street
Mitchell, IN 47446-1411

Mailing address

500 W. Main Street
Mitchell, IN 47446-1411
Phone (812) 849-4447

Other names 1

  • Hoosier Uplands Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090803000525 IN Part A Provider - Hospice 4082767496 Practice locations: Mitchell, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003815747. Details of each certification follow.

Hospice certification: CCN 151556

Legal name
HOOSIER UPLANDS ECONOMIC DEVELOPMENT CORPORATION
Doing business as
HOOSIER UPLANDS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 1, 1996
Last certification
Aug 12, 2011
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Feb 13, 1980 in IN
Enrollment address
500 West Main St
Mitchell, IN 47446-1411

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hoosier Uplands HospiceCCN 151556 · All quality measures
Ownership
Non-Profit
Certified
Oct 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hoosier Uplands Economic Development Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 33

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

NameRoleSinceShare
Ava Kinney Individual Corporate Director Dec 28, 2016
Bill Mitchell Individual Corporate Director Jul 1, 2002
Craig Jones Individual Corporate DirectorBoard Member Jan 16, 2024
Richard Dixon Individual Corporate Director Feb 7, 2022
Seth Purlee Individual Corporate Director Mar 9, 2020
Pam Holzbog Individual Corporate Director Mar 19, 2024
Sharon Mitchell Individual Corporate DirectorTreasurer Jun 10, 2009
Martha Fields Individual Corporate DirectorChair Jun 10, 2009
George W Sorrells Individual Contracted Managing EmployeeHospice Medical Director Dec 15, 2022
Rosalee Wininger Individual Corporate Director Jul 30, 2009
Herman Campbell Individual Corporate Director Apr 16, 2013
Hoosier Uplands Economic Development Corporation Organization, Mitchell, IN Operational/Managerial Control Jun 10, 2009
Rick Beaty Individual Corporate Director Jan 1, 2026
Lana Sullivan Individual Corporate DirectorVice Chair Dec 31, 2022
Angela Turpin Individual Corporate Director Jul 23, 2014
Stacey Bowling Individual Corporate Director Dec 31, 2022
Gerald Montgomery Individual Corporate Director Jun 10, 2009
Sara Luallen Individual Corporate Director Jul 23, 2014
Angela Crecelius Individual Corporate Director Jun 10, 2009
Vicky Bauernfiend Individual Corporate Director Jun 10, 2009
Greg Taylor Individual Corporate Director Jul 23, 2014
Janie Jackman Individual Corporate Director Jun 10, 2009
Charlotte Speer Individual Corporate Director Apr 13, 2016
Nancy Miller Individual Corporate Director Feb 4, 2023
Mary Brown Individual Corporate Director Jan 13, 1999
Max Bedwell Individual Corporate Director Sep 6, 2017
Reita Nicholson Individual Corporate DirectorSecretary Jun 10, 2009
Robert Jones Individual Corporate Director Jan 1, 2016
Clara House Individual Corporate Director Nov 21, 2023
David Dedrick Individual Corporate Director Jun 10, 2009
Janet Harrison Individual Corporate Director Oct 25, 2016
David Miller Individual Corporate DirectorCeo Mar 1, 1987
W-2 Managing EmployeeAd; Mar 1, 1987
Karan Jones Individual Corporate Director Nov 17, 2015

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hoosier Uplands Home Health CareMitchell, IN, CCN 157051 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 10, 2009
Feb 13, 1980

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1003815747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W. MAIN STREET",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461411",
            "telephone_number": "812-849-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W. MAIN STREET",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461411",
            "telephone_number": "812-849-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER UPLANDS ECONOMIC DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-849-4447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": "050094891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoosier Uplands Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mitchell, IN

Sources for this page

Verify at the official NPI Registry.