Organization Active NPI

Heart to Heart Hospice of Indianapolis LLC

  • Community Based Hospice Care Agency
  • Indianapolis, IN
National Provider Identifier
1497976393
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
070040041 Issued in IN
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

Updated by the provider on Apr 13, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200853790MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 151597
Ownership
For-Profit
Certified
Apr 13, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2096163Heart to Heart Hospice of Indianapolis, LLC2611 Waterfront Parkway East Drive, Suite 200, Indianapolis, IN 46214Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Indiana Hospice DFW, LLC Organization, Plano, TX Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 6.25%
Heart to Heart Indiana Holdco, LLC Organization, Plano, TX Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Oct 27, 2021 100%
Heart to Heart Hospice Holdings LLC Organization, Plano, TX LLC 5% Or Greater Direct Ownership Interest Oct 27, 2021 100%
Indiana Hospice DFW Two, LLC Organization, Plano, TX Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 6.25%
H to H Founders, LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Jun 25, 2015 59.83%
Htohh Preferred LLC Organization, Plano, TX Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 39.92%
Indiana Medical Couriers and Express Delivery Services, LLC Organization, Plano, TX Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 87.5%
Kelly Mitchell Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 65.87%
Corporate OfficerCeo / Manager Nov 1, 2014
Corporate DirectorCeo/ Manager 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.

View all 40

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

Verify at the official NPI Registry.