Active NPI
Chestnut Hill Indiana LLC
- Home Health Registered Nurse
- Indianapolis, IN
National Provider Identifier
1073448510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- CHESTNUT HILL INDIANA LLC
- Practice address
- 9511 Angola CT Ste 207
Indianapolis, IN 46268-3193 - Phone
- (978) 828-8887
- NPI assigned
- Jun 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anton Pukhovitsky
- Title
- Director
- Phone
- (978) 828-8887
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
9511 Angola CT Ste 207
Indianapolis, IN 46268-3193
Mailing address
9511 Angola CT Ste 207
Indianapolis, IN 46268-3193
Phone (978) 828-8887
National Provider Directory
National Provider DirectoryLocations
9511 Angola Ct
Ste 207
Indianapolis, IN 46268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1073448510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9511 ANGOLA CT STE 207",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683193",
"telephone_number": "978-828-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9511 ANGOLA CT STE 207",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683193",
"telephone_number": "978-828-8887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTNUT HILL INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "PUKHOVITSKY",
"authorized_official_first_name": "ANTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "978-828-8887",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.