Organization Active NPI

Heart to Heart Hospice of Northern Indiana LLC

  • Community Based Hospice Care Agency
  • Mishawaka, IN
National Provider Identifier
1295049724
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
14-012545-1 Issued in IN
Legal business name
HEART TO HEART HOSPICE OF NORTHERN INDIANA LLC
Practice address
602 W Edison Road
Suite 122
Mishawaka, IN 46545-2784
Phone
(574) 855-4475
Fax
(574) 204-2344
NPI assigned
Jul 26, 2010
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Mr. Kelly O Mitchell
Title
Manager
Phone
(972) 517-6300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU
Community Based Hospice Care Agency 251G00000X 14-012545-1 IN Primary

Addresses

Primary practice location

602 W Edison Road
Suite 122
Mishawaka, IN 46545-2784

Mailing address

7240 Chase Oaks Blvd
Plano, TX 75025-5901
Phone (972) 517-6300

Other identifiers 1

IdentifierTypeStateIssuer
2011506608MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110511000051 IN Part A Provider - Hospice 1850577792 Practice locations: Mishawaka, IN
O20240103003641 IN Part B Supplier - Clinic/Group Practice 1850577792 Receives reassigned benefits from 1 practitioner
Practice locations: Mishawaka, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295049724. Details of each certification follow.

Hospice certification: CCN 151608

Legal name
HEART TO HEART HOSPICE OF NORTHERN INDIANA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 19, 2012
Last certification
Sep 19, 2012
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 17, 2003 in IN
Enrollment address
620W Edison Rd 122
Mishawaka, IN 46545-2784

Care Compare: Hospice

Medicare Care Compare
Listed as
Heart to Heart Hospice of Northern Indiana LLCCCN 151608 · All quality measures
Ownership
For-Profit
Certified
Sep 19, 2012
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2013326Heart to Heart Hospice of Northern Indiana, LLC620 W Edison Road, Suite 122, Mishawaka, IN 46545Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

1 Cass City Ctr
Ste 214217
Logansport, IN 46947
Phone (574) 336-2059

620 W Edison Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 855-4475

Ownership & related parties

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.

NameRoleSinceShare
Heart to Heart Indiana Holdco, LLC Organization, Plano, TX LLC 5% Or Greater Direct Ownership Interest Mar 31, 2014 100%
Heart to Heart Hospice Holdings LLC Organization, Plano, TX LLC 5% Or Greater Direct Ownership Interest Oct 27, 2021 100%
Indiana Hospice DFW Two, LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 6.25%
H to H Founders, LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 59.83%
Htohh Preferred LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 39.92%
Indiana Hospice DFW, LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 6.25%
Indiana Medical Couriers and Express Delivery Services, LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 87.5%
Kelly Mitchell Individual Corporate OfficerCfo/Manager Jun 6, 2014 65.8%
W-2 Managing Employee Mar 31, 2014

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1295049724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 CHASE OAKS BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255901",
            "telephone_number": "972-517-6300",
            "fax_number": "972-517-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W EDISON ROAD",
            "address_2": "SUITE 122",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452784",
            "telephone_number": "574-855-4475",
            "fax_number": "574-204-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART HOSPICE OF NORTHERN INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-517-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "14-012545-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011506608",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.