Organization Active NPI

Transitions Crown Point LLC

  • Community Based Hospice Care Agency
  • Crown Point, IN
National Provider Identifier
1306424262
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRANSITIONS CROWN POINT LLC
Practice address
11035 Broadway Ste E
Crown Point, IN 46307-7488
Phone
(847) 515-1505
NPI assigned
Mar 31, 2021
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
James M Palazzo
Title
Ceo
Phone
(847) 515-1505

Specialties & licenses 1

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

Addresses

Primary practice location

11035 Broadway Ste E
Crown Point, IN 46307-7488

Mailing address

11035 Broadway Ste F
Crown Point, IN 46307-7488
Phone (847) 515-1505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627002534 IN Part A Provider - Hospice 8921487604 Practice locations: Crown Point, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306424262. Details of each certification follow.

Hospice certification: CCN 151653

Legal name
TRANSITIONS CROWN POINT LLC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 26, 2022
Last certification
Nov 26, 2022
Organization structure
LLCProprietary
Incorporated
Mar 11, 2021 in IN
Enrollment address
11035 Broadway
Ste F
Crown Point, IN 46307-7488

Care Compare: Hospice

Medicare Care Compare
Listed as
Transitions Crown Point, LLCCCN 151653 · All quality measures
Certified
Nov 26, 2022
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
15D2252627Transitions Crown Point LLC11035 Broadway Suite F, Crown Point, IN 46307Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

11035 Broadway
Ste E
Crown Point, IN 46307

11035 Broadway
Ste F
Crown Point, IN 46307
Phone (219) 309-0684

2865 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 483-7044

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Omar Khamis Individual Corporate OfficerCfo Dec 3, 2023
Transitions Acquisition LP Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Jan 10, 2022 55.69%
Aberdeen US Private Equity VIII LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Jan 10, 2022 11.36%
Transitions Intermediate Holdings LLC Organization, Naperville, IL LLC 5% Or Greater Direct Ownership Interest Jan 10, 2022 100%
James M Palazzo Individual 5% Or Greater Indirect Ownership Interest Jan 10, 2022 38.64%
Lorient Transitions LLC Organization, Birmingham, MI LLC 5% Or Greater Indirect Ownership Interest Jan 10, 2022 39.78%
Jose L Agusti Individual Contracted Managing EmployeeMD; Apr 22, 2023
Charity Zimmerman Individual W-2 Managing EmployeeAd; Aug 13, 2025
University of Chicago Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jan 10, 2022 9.84%
Kai Holdings LLC Organization, Naperville, IL LLC 5% Or Greater Indirect Ownership Interest Jan 10, 2022 38.64%
Patricia Benson Individual Corporate OfficerCeo Dec 3, 2023

Owners & managing parties with NPI records 3

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

Facilities with the same owner 15

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

View all 15

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 4

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": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1306424262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 BROADWAY STE F",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077488",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 BROADWAY STE E",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077488",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS CROWN POINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.