NPIMap

Organization Active NPI

Suburban Hospice Inc

Doing business as Hancock Regional Hospital Hospice

  • Community Based Hospice Care Agency
  • Noblesville, IN
National Provider Identifier
1407963846
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUBURBAN HOSPICE INC
Doing business as
Hancock Regional Hospital Hospice
Suburban Hospice
Practice address
14297 Bergen Blvd Ste 150
Noblesville, IN 46060-3398
Phone
(833) 888-7222
NPI assigned
Aug 23, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Jennifer Stanley
Title
Cfo
Phone
(317) 468-4471

Specialties & licenses 1

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

Addresses

Primary practice location

14297 Bergen Blvd Ste 150
Noblesville, IN 46060-3398

Mailing address

14297 Bergen Blvd Ste 150
Noblesville, IN 46060-3398
Phone (833) 888-7222

Other identifiers 1

IdentifierTypeStateIssuer
200192200AMedicaidIN

Other names 2

  • Hancock Regional Hospital Hospice Doing business as
  • Suburban Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191218001659 IN Part A Provider - Hospice 7113351560 Practice locations: Noblesville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407963846. Details of each certification follow.

Hospice certification: CCN 151547

Legal name
SUBURBAN HOSPICE INC
Doing business as
SUBURBAN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 23, 1996
Last certification
Jun 26, 2008
Ownership / control type
Government - County
Organization structure
CorporationNon-profit
Incorporated
Mar 18, 2019 in IN
Enrollment address
14297 Bergen Blvd
Ste 150
Noblesville, IN 46060-3398

Care Compare: Hospice

Medicare Care Compare
Listed as
Suburban Hospice, IncCCN 151547 · All quality measures
Ownership
Government
Certified
Feb 23, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hancock Regional Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 6

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

Locations

14297 Bergen Blvd
Ste 150
Noblesville, IN 46060
Phone (833) 888-7222

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Major Hospital Organization, Shelbyville, IN Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2024 5.5%
David H Dunkle Individual Corporate DirectorBoard Member Nov 1, 2024
Kelly Braverman Individual Corporate DirectorBoard Member Nov 1, 2024
Riverview Hospital Organization, Noblesville, IN Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2024 30.82%
Suburban Health at Home, Inc Organization, Greenfield, IN Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%
Hancock Regional Hospital Organization, Greenfield, IN 5% Or Greater Indirect Ownership Interest Nov 1, 2024 30.82%
John B Hittle Individual Contracted Managing EmployeeMD; Oct 1, 2019
Deanna M Fenoughty Individual Corporate DirectorBoard Member Nov 1, 2024
Steven V Long Individual Corporate DirectorBoard Member Nov 1, 2024
Elizabeth a Leising Individual Corporate DirectorBoard Member Nov 1, 2024
Ryan Claxton Individual Corporate Director Apr 1, 2025
Witham Memorial Hospital Organization, Lebanon, IN Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2024 10.27%
Hendricks County Hospital Organization, Danville, IN Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2024 12.82%
Margaret Mary Community Hospital Inc Organization, Batesville, IN Non-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2024 5.5%
Marc Adamson Individual Corporate OfficerExecutive Director Jan 1, 2026
Tamara Strunk Individual W-2 Managing EmployeeAd; Dec 22, 2025

Owners & managing parties with NPI records 10

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

Facilities with the same owner 181

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

View all 181

Change-of-ownership history 2

DateEventCounterparty
Oct 1, 2019 Change of OwnershipThis provider was the buyer Hancock Regional Hospital Home Health & HospiceCCN 151547, IN, NPI 1407963846
Oct 1, 2019 Change of OwnershipThis provider was the seller Suburban HospiceCCN 151547, IN, NPI 1407963846

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1407963846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14297 BERGEN BLVD STE 150",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603398",
            "telephone_number": "833-888-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14297 BERGEN BLVD STE 150",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603398",
            "telephone_number": "833-888-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-468-4471"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200192200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Regional Hospital Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suburban Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.