Little Sisters of the Poor of Indianapolis Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

05-000389-1 Issued in IN

Legal business name

LITTLE SISTERS OF THE POOR OF INDIANAPOLIS INC.

Practice address

2345 W 86TH St
Indianapolis, IN 46260-1905

Phone

(317) 415-5767

Fax

(317) 415-5773

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Mary Ann Workman

Title

Financial Operations

Phone

(513) 503-2206

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• St. Augustine Home for the Aged Doing business as
• The Little Sisters of the Poor of Indianapolis, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Skilled nursing facility certification: CCN 155825

Legal name

LITTLE SISTERS OF THE POOR OF INDIANAPOLIS, INC.

Doing business as

ST AUGUSTINE HOME FOR THE AGED

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 2015

Last certification

Sep 20, 2024

Beds

41 (23 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

2345 W 86TH St
Indianapolis, IN 46260-1905

Nursing home name

ST AUGUSTINE HOME FOR THE AGED

Affiliated entity

LITTLE SISTERS OF THE POOR

Listed as

St Augustine Home for the AgedCCN 155825

Overall star rating

5 of 5

Health inspections

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2310.6 residents per day on average

Chain

Little Sisters of the Poor4 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 28

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Staci L Hollar

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1366718405

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1528025236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601905",
            "telephone_number": "317-415-5767",
            "fax_number": "317-415-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601905",
            "telephone_number": "317-415-5767",
            "fax_number": "317-415-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SISTERS OF THE POOR OF INDIANAPOLIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "513-503-2206"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "05-000389-1",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "05-000389-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288920A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Augustine Home for the Aged",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Augustine Home for the Aged",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Little Sisters of the Poor of Indianapolis, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cameron Little
• Cheryl A. Little, MD
• Emily Brooke Little

• Nursing Facility/Intermediate Care Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nursing Facility/Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.

Verify at the official NPI Registry.