NPIMap

Organization Active NPI

Transitions Indiana, LLC

Doing business as Transitions Hospice

  • Community Based Hospice Care Agency
  • Indianapolis, IN
National Provider Identifier
1376998781
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 INDIANA, LLC
Doing business as
Transitions Hospice
Practice address
8435 Keystone Crossing
Suite 108
Indianapolis, IN 46240-4373
Phone
(317) 519-6145
Fax
(317) 218-3504
NPI assigned
May 4, 2016
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
Omar Khamis
Title
Cfo
Phone
(847) 515-1505

Specialties & licenses 1

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

Addresses

Primary practice location

8435 Keystone Crossing
Suite 108
Indianapolis, IN 46240-4373

Mailing address

8913 N Prairie Pointe Rd
Peoria, IL 61615-1577
Phone (847) 515-1505

Other names 1

  • Transitions Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160722002155 IN Part A Provider - Hospice 9436442878 Practice locations: Indianapolis, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376998781. Details of each certification follow.

Hospice certification: CCN 151621

Legal name
TRANSITIONS INDIANA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 28, 2016
Last certification
Oct 28, 2016
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
May 11, 2016 in IN
Enrollment address
8435 Keystone Xing
Ste 108
Indianapolis, IN 46240-4373

Care Compare: Hospice

Medicare Care Compare
Listed as
Transitions Indiana, LLCCCN 151621 · All quality measures
Ownership
For-Profit
Certified
Oct 28, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8435 Keystone Xing
Ste 210
Indianapolis, IN 46240
Phone (317) 210-8144

8935 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone (317) 519-6145

Ownership & related parties

All disclosed owners & managing parties 7

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 Holding company 5% Or Greater Indirect Ownership Interest Dec 31, 2020 57.6%
Transitions Intermediate Holdings LLC Organization, Birmingham, MI LLC 5% Or Greater Direct Ownership Interest Dec 31, 2020 100%
Billie Carder Individual W-2 Managing EmployeeAd; Jul 29, 2024
Jose L Agusti Individual Contracted Managing EmployeeMD; Jan 24, 2025
Kai Holdings LLC Organization, Huntley, IL LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2020 40%
Patricia Benson Individual Corporate OfficerCeo Dec 3, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 10

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 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": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1376998781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151577",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 KEYSTONE CROSSING",
            "address_2": "SUITE 108",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404373",
            "telephone_number": "317-519-6145",
            "fax_number": "317-218-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "KHAMIS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CFO",
        "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": [
        {
            "organization_name": "Transitions Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.