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Organization Active NPI

Freedom Hospice, LLC

Doing business as Heritage Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Indianapolis, IN
National Provider Identifier
1427395946
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
120122031 Issued in IN
Legal business name
FREEDOM HOSPICE, LLC
Doing business as
Heritage Hospice and Palliative Care
Practice address
7215 E 21St St Ste a
Indianapolis, IN 46219-1777
Phone
(463) 202-2926
Fax
(463) 202-2176
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Mr. Elly Latinik
Title
Manager
Phone
(847) 864-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 120122031 IN Primary

Addresses

Primary practice location

7215 E 21St St Ste a
Indianapolis, IN 46219-1777

Mailing address

7215 E 21St St Ste a
Indianapolis, IN 46219-1777
Phone (463) 202-2926

Other names 1

  • Heritage Hospice and Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

7215 E 21st St
Ste B
Indianapolis, IN 46219

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 10, 2021 Change of OwnershipThis provider was the seller Traditions HealthCCN 151606, IN, NPI 1083380190

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1427395946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 E 21ST ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191777",
            "telephone_number": "463-202-2926",
            "fax_number": "463-202-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 E 21ST ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191777",
            "telephone_number": "463-202-2926",
            "fax_number": "463-202-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "LATINIK",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-864-4901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "120122031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.