Active NPI
Enlight Hospice & Palliative Care LLC
- Community Based Hospice Care Agency
- Indianapolis, IN
National Provider Identifier
1407605249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ENLIGHT HOSPICE & PALLIATIVE CARE LLC
- Practice address
- 5329 S Emerson Ave Ste C
Indianapolis, IN 46237-1977 - Phone
- (317) 721-2726
- NPI assigned
- May 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Frank
- Title
- Owner
- Phone
- (317) 258-6992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5329 S Emerson Ave Ste C
Indianapolis, IN 46237-1977
Mailing address
11377 Hanbury Manor Blvd
Noblesville, IN 46060-7178
Phone (317) 258-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241003000910 | IN | Part A Provider - Hospice | 0446781280 | Practice locations: Indianapolis, IN |
Hospice certification: CCN 151663
- Legal name
- ENLIGHT HOSPICE & PALLIATIVE CARE LLC
- Doing business as
- ENLIGHT HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 31, 2024
- Last certification
- Oct 31, 2024
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Enrollment address
- 5329 S Emerson Ave
Ste C
Indianapolis, IN 46237-1977
Care Compare: Hospice
Medicare Care Compare- Listed as
- Enlight Hospice & Palliative Care LLC
- Certified
- Oct 31, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2306532 | Enlight Hospice & Palliative Care LLC | Certificate of waiver | Jun 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
5329 S Emerson Ave
Ste C
Indianapolis, IN 46237
Phone (317) 721-2726
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Megan Frank | 5% Or Greater Direct Ownership Interest | Jul 17, 2023 | 50% |
| Corporate Officer | Jul 17, 2023 | 50% | |
| Patricia M English | Contracted Managing Employee | Jun 9, 2024 | |
| Michael Frank | 5% Or Greater Direct Ownership Interest | Jul 17, 2023 | 50% |
| Corporate Officer | Jul 17, 2023 | 50% | |
| Robin M Lightfoot | W-2 Managing Employee | May 13, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1427146695
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1750432969
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1407605249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11377 HANBURY MANOR BLVD",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460607178",
"telephone_number": "317-258-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5329 S EMERSON AVE STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462371977",
"telephone_number": "317-721-2726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENLIGHT HOSPICE & PALLIATIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-258-6992",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.