Greatland Healthcare of Indiana Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREATLAND HEALTHCARE OF INDIANA INC.

Practice address

9616 Indianapolis Blvd FL 2
Suite D
Highland, IN 46322-2637

Phone

(219) 595-5081

Fax

(219) 513-9215

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Monsuru Hassan

Title

Executive Director

Phone

(219) 595-5081

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greatland Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Home health agency certification: CCN 157704

Legal name

GREATLAND HEALTHCARE OF INDIANA INC.

Doing business as

GREATLAND HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 26, 2019

Last certification

Apr 26, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 27, 2015 in IL

Enrollment address

9616 Indianapolis Blvd
Second Floor, Suite D
Highland, IN 46322-2637

Listed as

Greatland Home HealthCCN 157704

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Apr 26, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772323200000",
    "number": "1336598358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604400141",
            "telephone_number": "219-595-5081",
            "fax_number": "219-513-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 INDIANAPOLIS BLVD FL 2",
            "address_2": "SUITE D",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222637",
            "telephone_number": "219-595-5081",
            "fax_number": "219-513-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATLAND HEALTHCARE OF INDIANA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MONSURU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-595-5081"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "19-013891-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greatland Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greatland Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Nello Giannini, RBT
• Briana Goodfriend, BCBA
• David Lee Gortat, R.PH.
• Mary Kathleen Gortat, RPH
• Great Lakes Healthcare Specialists LLC
• Kartike Gulati, D.O
• Chakara Gunn, MSW
• Angela Gusakoska, SLPA
• Nicole Guyton, D.D.S.
• Fadia J Haddadin, MD

• Home Health Agency in Highland, IN
• Providers in Highland, 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 Mar 1, 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.