Indiana Anchor of Hope Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INDIANA ANCHOR OF HOPE HOSPICE LLC

Practice address

973 Keystone Way
Carmel, IN 46032-2823

Phone

(317) 668-1011

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Reggina Mattis

Title

Director of Hospice Services

Phone

(317) 694-8355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Hospice certification: CCN 151654

Legal name

INDIANA ANCHOR OF HOPE HOSPICE LLC

Doing business as

ANCHOR OF HOPE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 8, 2023

Last certification

Feb 23, 2023

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Oct 7, 2021 in IN

Enrollment address

973 Keystone Way N
Carmel, IN 46032-2823

Listed as

Anchor of Hope HospiceCCN 151654

Certified

Mar 8, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

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

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• David Michael Blackwell II, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1104903111

  Hospice

  Care Compare affiliation
• Olivia Helitha Cronin, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1881820249

  Hospice

  Care Compare affiliation
• John Christopher Lopshire, M.D., PH.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1326128281

  Hospice

  Care Compare affiliation
• Mahmoud Yassin-Kassab, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1144281486

  Hospice

  Care Compare affiliation
• Chirag Pranjivan Patel, M.D.

  • Nephrology Physician
  • Park Ridge, IL
  • NPI 1801840699

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1104560069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 KEYSTONE WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 KEYSTONE WAY",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322823",
            "telephone_number": "317-668-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA ANCHOR OF HOPE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "REGGINA",
        "authorized_official_title_or_position": "DIRECTOR OF HOSPICE SERVICES",
        "authorized_official_telephone_number": "317-694-8355"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illuminate Health Inc
• Image Dental
• Impact Physician Group Pulmonary LLC
• Impact Physician Group, Indiana LLC
• In Focus First LLC
• Indiana Back Center PC
• Indiana Center for Bariatric Medicine
• Indiana Center for Recovery Outpatient Services LLC
• Indiana Community Eyecare
• Indiana Cosmetic & Plastic Surgeons, LLC

• All providers in Carmel, IN
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.