NPIMap

Organization Active NPI

Community Home Health Services, Inc

  • Community Based Hospice Care Agency
  • Fishers, IN
National Provider Identifier
1174599047
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
009501 Issued in IN
Legal business name
COMMUNITY HOME HEALTH SERVICES, INC
Practice address
9894 E 121St St
Fishers, IN 46037-4154
Phone
(317) 621-4800
Fax
(317) 621-4811
NPI assigned
Feb 28, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOME HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mrs. Jessie A Westlund, R.N.
Title
Chief Executive Officer
Phone
(317) 621-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 009501 IN Primary

Addresses

Primary practice location

9894 E 121St St
Fishers, IN 46037-4154

Mailing address

9894 E 121St St
Fishers, IN 46037-4154
Phone (317) 621-4800

Other identifiers 3

IdentifierTypeStateIssuer
000000185368OtherINANTHEM BLUE CROSS AND BLU
200121620AMedicaidIN
000000005895OtherINMPLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150402001383 IN Part A Provider - Hospice 7315965571 Practice locations: Fishers, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174599047. Details of each certification follow.

Hospice certification: CCN 151554

Legal name
COMMUNITY HOME HEALTH SERVICES, INC.
Doing business as
COMMUNITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 9, 1996
Last certification
Apr 13, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
in IN
Enrollment address
9894 E 121St St
Fishers, IN 46037-4154

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Community HospiceCCN 151554 · All quality measures
Ownership
For-Profit
Certified
Aug 9, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Community Home Health Services Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Jason R Fahrlander Individual Corporate OfficerExc Vice Pres, Chief Ope Officer Sep 15, 2020
Ramarao Yeleti Individual Corporate OfficerExec VP, Chief Physician Executi Sep 15, 2020
Kyle Fisher Individual Corporate OfficerExecutive Vice President, Chief Mar 12, 2019
Community Health Network Inc Organization, Indianapolis, IN Corporation, Non-profit Other Mar 3, 1998 100%
Bryan a Mills Individual Corporate DirectorPresident & Ceo Sep 15, 2020
Brenda Kenyon Individual Corporate OfficerDirector Operations Sep 14, 2020
W-2 Managing EmployeeDirector Operations Sep 14, 2020
Patrick M McGill Individual Corporate OfficerExec VP, Chief Analytics Oficer Sep 15, 2020
Karen Lloyd Individual Corporate OfficerExec VP, Gen Counsel Sep 15, 2020
Michelle Mahaffey Individual Corporate OfficerExec VP, Chief Human Res Officer Sep 15, 2020
Community Health Network Inc Organization, Indianapolis, IN 5% Or Greater Direct Ownership Interest Mar 31, 1998

Owners & managing parties with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1174599047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 E 121ST ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374154",
            "telephone_number": "317-621-4800",
            "fax_number": "317-621-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 E 121ST ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374154",
            "telephone_number": "317-621-4800",
            "fax_number": "317-621-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOME HEALTH SERVICES, INC",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "WESTLUND",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "317-621-4850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "009501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "000000185368",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200121620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN",
            "identifier": "000000005895",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.