Active NPI
Heart to Heart Hospice of Indianapolis LLC
- Community Based Hospice Care Agency
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 070040041
- Legal business name
- HEART TO HEART HOSPICE OF INDIANAPOLIS LLC
- Practice address
- 2611 Waterfront Parkway East Dr Ste 200
Indianapolis, IN 46214-2057 - Phone
- (317) 718-7422
- Fax
- (317) 718-7433
- NPI assigned
- May 1, 2007
- 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
- Kelly O Mitchell
- Title
- Ceo
- Phone
- (972) 517-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 070040041 | IN | Primary |
Addresses
Primary practice location
2611 Waterfront Parkway East Dr Ste 200
Indianapolis, IN 46214-2057
Mailing address
7240 Chase Oaks Blvd
Plano, TX 75025-5901
Phone (972) 517-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200853790 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420000280 | IN | Part A Provider - Hospice | 0345235107 | Practice locations: Fishers, IN; Indianapolis, IN |
| O20240119002525 | IN | Part B Supplier - Clinic/Group Practice | 0345235107 |
Receives reassigned benefits from 1 practitioner Practice locations: Indianapolis, IN |
Hospice certification: CCN 151597
- Legal name
- HEART TO HEART HOSPICE OF INDIANAPOLIS LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 13, 2007
- Last certification
- Oct 26, 2012
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Nov 1, 2014 in IN
- Enrollment address
- 2611 Waterfront Parkway East Dr
Ste 200
Indianapolis, IN 46214-2057
Care Compare: Hospice
Medicare Care Compare- Listed as
- Heart to Heart Hospice of Indianapolis LLC
- Ownership
- For-Profit
- Certified
- Apr 13, 2007
- 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 |
|---|---|---|---|
| 15D2096163 | Heart to Heart Hospice of Indianapolis, LLC | Certificate of waiver | May 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
252 Meadow Dr
Ste 6
Danville, IN 46122
Phone (317) 718-7422
7 N Washington St
Danville, IN 46122
Phone (317) 718-7422
9780 Lantern Rd
Ste 130
Fishers, IN 46037
Phone (317) 498-1681
2611 Waterfront Parkway East Dr
Indianapolis, IN 46214
2611 Waterfront Parkway East Dr
Ste 200
Indianapolis, IN 46214
Phone (317) 718-7422
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Indiana Hospice DFW, LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 6.25% |
| Heart to Heart Indiana Holdco, LLC | 5% Or Greater Direct Ownership Interest | Oct 27, 2021 | 100% |
| Heart to Heart Hospice Holdings LLC | 5% Or Greater Direct Ownership Interest | Oct 27, 2021 | 100% |
| Indiana Hospice DFW Two, LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 6.25% |
| H to H Founders, LLC | 5% Or Greater Indirect Ownership Interest | Jun 25, 2015 | 59.83% |
| Htohh Preferred LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 39.92% |
| Indiana Medical Couriers and Express Delivery Services, LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 87.5% |
| Kelly Mitchell | 5% Or Greater Indirect Ownership Interest | Jun 1, 2016 | 65.87% |
| Corporate Officer | Nov 1, 2014 | ||
| Corporate Director | Nov 1, 2014 | ||
| W-2 Managing Employee | Jun 1, 2016 |
Facilities with the same owner 40
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Marion, IN
- NPI 1932104247
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Elkhart, IN
- NPI 1841821741
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Evansville, IN
- NPI 1588213425
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1881243509
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Mishawaka, IN
- NPI 1295049724
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Valparaiso, IN
- NPI 1023667755
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Jasper, IN
- NPI 1962585430
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Terre Haute, IN
- NPI 1851729909
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Chesterfield Township, MI
- NPI 1952875080
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
- Community Based Hospice Care Agency
- Fort Worth, TX
- NPI 1306351556
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
- Community Based Hospice Care Agency
- Sugar Land, TX
- NPI 1982056644
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
- Community Based Hospice Care Agency
- Jourdanton, TX
- NPI 1851651376
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586736000000",
"number": "1497976393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7240 CHASE OAKS BLVD",
"city": "PLANO",
"state": "TX",
"postal_code": "750255901",
"telephone_number": "972-517-6300",
"fax_number": "972-517-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 WATERFRONT PARKWAY EAST DR STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462142057",
"telephone_number": "317-718-7422",
"fax_number": "317-718-7433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART TO HEART HOSPICE OF INDIANAPOLIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-517-6300"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IN",
"license": "070040041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200853790",
"state": "IN"
}
],
"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 Apr 13, 2020; 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.