NPIMap

Organization Active NPI

Suburban Home Health, LLC

  • Home Health Agency
  • Noblesville, IN
National Provider Identifier
1598872939
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUBURBAN HOME HEALTH, LLC
Practice address
14297 Bergen Blvd Ste 250
Noblesville, IN 46060-3398
Phone
(317) 468-2010
Fax
(317) 477-0086
NPI assigned
Aug 23, 2006
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Marc Adamson
Title
Executive Director
Phone
(317) 468-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14297 Bergen Blvd Ste 250
Noblesville, IN 46060-3398

Mailing address

14297 Bergen Blvd Ste 250
Noblesville, IN 46060-3398
Phone (317) 468-2010

Other identifiers 2

IdentifierTypeStateIssuer
1598872939OtherINNPI
201241090AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731016558 IN Part A Provider - Home Health Agency 0042524241 Practice locations: Noblesville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598872939. Details of each certification follow.

Home health agency certification: CCN 157092

Legal name
SUBURBAN HOME HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 14, 1983
Last certification
Jul 9, 2016
Ownership / control type
Proprietary
Organization structure
LLCNon-profit
Incorporated
Jan 1, 2014 in IN
Enrollment address
14297 Bergen Blvd
Ste 250
Noblesville, IN 46060-3398

Care Compare: Home health agency

Medicare Care Compare
Listed as
Suburban Home Health LLCCCN 157092 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 14, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
15D2042778Suburban Home Health LLC14297 Bergen Blvd Ste 250, Noblesville, IN 46060Certificate of waiverJun 19, 2028

National Provider Directory

National Provider Directory

Member of 5

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

Locations

1560 N State St
Ste B
Greenfield, IN 46140
Phone (317) 468-4479

14297 Bergen Blvd
Ste 250
Noblesville, IN 46060
Phone (317) 468-2010

Ownership & related parties

All disclosed owners & managing parties 14

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 5% Or Greater Indirect Ownership Interest Sep 3, 2024 5.5%
Kelly Braverman Individual Corporate DirectorBoard Member Jan 1, 2024
Riverview Hospital Organization, Noblesville, IN 5% Or Greater Indirect Ownership Interest Sep 3, 2024 30.82%
David W Hyatt Individual Corporate DirectorBoard Member Jan 1, 2024
Suburban Health at Home, Inc Organization, Greenfield, IN Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 3, 2024 100%
Hancock Regional Hospital Organization, Greenfield, IN 5% Or Greater Indirect Ownership Interest Sep 3, 2024 30.82%
Deanna M Fenoughty Individual Corporate DirectorBoard Member Jul 1, 2022
Steven V Long Individual Corporate DirectorBoard Member Jan 1, 2024
Elizabeth a Leising Individual Corporate DirectorBoard Member Jan 1, 2024
Witham Memorial Hospital Organization, Lebanon, IN Non-profit 5% Or Greater Indirect Ownership Interest Sep 3, 2024 10.27%
Hendricks County Hospital Organization, Danville, IN Non-profit 5% Or Greater Indirect Ownership Interest Sep 3, 2024 12.82%
Margaret Mary Community Hospital Inc Organization, Batesville, IN 5% Or Greater Indirect Ownership Interest Sep 3, 2024 5.5%
Marc Adamson Individual W-2 Managing EmployeeAdministrator Apr 1, 2014
Operational/Managerial ControlAdministrator Apr 1, 2014
John M Horner Individual Corporate DirectorBoard Member Jan 1, 2024

Owners & managing parties with NPI records 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 255

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

View all 255

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": "1569801600000",
    "number": "1598872939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14297 BERGEN BLVD STE 250",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603398",
            "telephone_number": "317-468-2010",
            "fax_number": "317-477-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14297 BERGEN BLVD STE 250",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603398",
            "telephone_number": "317-468-2010",
            "fax_number": "317-477-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-468-2011"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598872939",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201241090A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.