NPIMap

Organization Active NPI

Paradigm Living Concepts, LLC

Doing business as Paradigm Health

  • Community Based Hospice Care Agency
  • Indianapolis, IN
National Provider Identifier
1407289119
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PARADIGM LIVING CONCEPTS, LLC
Doing business as
Paradigm Health
Practice address
8904 Bash St Ste B
Indianapolis, IN 46256-1286
Phone
(317) 735-6001
Fax
(855) 450-1177
NPI assigned
Aug 16, 2013
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Jeffrey Noah Jarecki, MBA
Title
President/ Ceo
Phone
(317) 735-6001

Specialties & licenses 1

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

Addresses

Primary practice location

8904 Bash St Ste B
Indianapolis, IN 46256-1286

Mailing address

8904 Bash St Ste B
Indianapolis, IN 46256-1286
Phone (317) 735-6001

Other names 1

  • Paradigm Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131002000482 IN Part A Provider - Hospice 1355575424 Practice locations: Bloomington, IN; Brownsburg, IN; Franklin, IN; Indianapolis, IN; Kokomo, IN; Lafayette, IN; Muncie, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407289119. Details of each certification follow.

Hospice certification: CCN 151611

Legal name
PARADIGM LIVING CONCEPTS LLC
Doing business as
PARADIGM HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 12, 2014
Last certification
Feb 12, 2014
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Aug 25, 2008 in IN
Enrollment address
8904 Bash St
Ste B
Indianapolis, IN 46256-1286

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Paradigm HealthCCN 151611 · All quality measures
Ownership
For-Profit
Certified
Feb 12, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8904 Bash St
Ste B
Indianapolis, IN 46256
Phone (317) 735-6001

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Cressey & Company Fund VII LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 33.6%
PLC Acquisition, LLC Organization, Dallas, TX Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 21, 2021 100%
Jenna Grimes Individual W-2 Managing EmployeeChief Operating Officer Jun 30, 2023 0.9%
Cressey & Company Fund VII-a LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 40.2%
New York State Teachers' Retirement System Organization, Albany, NY 5% Or Greater Indirect Ownership Interest May 6, 2025 5.5%
CC PLC Splitter, LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 40.9%
PLC Intermediate, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 21, 2021 100%
PLC Employee Holdings, Inc. Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest May 6, 2025 4.6%
CC PLC Blocker, LLC Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 40.9%
Andrew Worswick Individual W-2 Managing EmployeeCeo Jan 1, 2022 1.6%
Havencrest Healthcare Partners II, LP Organization, Dallas, TX Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 20.7%
CC PLC Buyer, LLC Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 33.6%
Deshini Moonesinghe Individual Contracted Managing EmployeeMD; Aug 31, 2020
Corporate DirectorMedical Director Aug 31, 2020
Cressey & Company GP VII LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 5.1%
Cressey & Company LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025
Danielle Tucker Individual W-2 Managing EmployeeAd; Aug 26, 2024
Jessica Nagel Individual W-2 Managing EmployeeVP of Business Operations Jun 30, 2023 0.4%
PLC HC I, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 21, 2021 100%

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 23

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

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 50

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1407289119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 BASH ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561286",
            "telephone_number": "317-735-6001",
            "fax_number": "855-450-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 BASH ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561286",
            "telephone_number": "317-735-6001",
            "fax_number": "855-450-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM LIVING CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2023-09-15",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "JARECKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "317-735-6001",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.