Pediatric Plus Home Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

10-012370-1 Issued in IN

Legal business name

PEDIATRIC PLUS HOME HEALTHCARE SERVICES LLC

Practice address

925 Main St
Jeffersonville, IN 47130-4209

Phone

(812) 284-2824

Fax

(812) 920-0163

NPI assigned

Jul 22, 2010

Last updated

Feb 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald D Dennis Jr.

Title

Business Office Manager

Phone

(812) 284-2824

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275846909. Details of each certification follow.

• CCN 15K062 Home health agency · Active · Name & address match · Details

Home health agency certification: CCN 15K062

Legal name

PEDIATRIC PLUS HOME HEALTHCARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 4, 2011

Last certification

Jan 27, 2020

Ownership / control type

Proprietary

Facility address

925 Main Street
Jeffersonville, IN 47130

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

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771027200000",
    "number": "1275846909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304209",
            "telephone_number": "812-284-2824",
            "fax_number": "833-662-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304209",
            "telephone_number": "812-284-2824",
            "fax_number": "812-920-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PLUS HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "812-284-2824",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "10-012370-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201008780A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201019310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pca Corrections LLC (PCA Southern Indiana)
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• Lillian Pearce
• Barry R Pecha, MD
• Pediatric Dentistry of Prospect
• Sara Pendleton, LMFT
• Lakshmana K. Pendyala, MD
• Sara Perez
• Heather Perissi
• Peritus Laboratories, Inc (Pathmark Laboratories)

• Home Health Agency in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; 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.