NPIMap

Organization Active NPI

Corsocare Hospice of Indiana LLC

  • Community Based Hospice Care Agency
  • Carmel, IN
National Provider Identifier
1609647759
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CORSOCARE HOSPICE OF INDIANA LLC
Practice address
12315 Hancock St Ste 28
Carmel, IN 46032-5885
Phone
(248) 438-8535
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Lori Apple
Title
President
Phone
(248) 302-0899

Specialties & licenses 1

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

Addresses

Primary practice location

12315 Hancock St Ste 28
Carmel, IN 46032-5885

Mailing address

12315 Hancock St Ste 28
Carmel, IN 46032-5885
Phone (248) 438-8535

Other names 1

  • CorsoCare Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229001289 IN Part A Provider - Hospice 2062857030 Practice locations: Carmel, IN

Hospice certification: CCN 151660

Legal name
CORSOCARE HOSPICE OF INDIANA LLC
Doing business as
CORSOCARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 13, 2024
Last certification
May 13, 2024
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Aug 31, 2023 in IN
Enrollment address
12315 Hancock St
Ste 28
Carmel, IN 46032-5885

Care Compare: Hospice

Medicare Care Compare
Listed as
Corsocare Hospice of Indiana, LLCCCN 151660
Certified
May 13, 2024
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
15D2297525Corsocare Hospice of Indiana12315 Hancock Street, Ste 28, Carmel, IN 46032Certificate of waiverJan 16, 2028

National Provider Directory

National Provider Directory

Locations

12315 Hancock St
Ste 28
Carmel, IN 46032
Phone (248) 438-8535

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
Ralph Stoy Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 6.79%
Tamara C Hudson Individual W-2 Managing EmployeeAd; Feb 1, 2024
RC Home Health Venture, LLC Organization, Brighton, MI LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Corso Ancillary Fri, LLC Organization, Toledo, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 25%
Albert Klemptner Individual Contracted Managing EmployeeMedical Director Feb 1, 2024
Csig Holding Company, LLC Organization, Brighton, MI Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 75%
Robert Czapiewski Individual Corporate OfficerTreasurer Feb 1, 2024
Daniel Hughes Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 32.11%
Welltower Op, LLC Organization, Toledo, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 25%
Robert Bruce Individual Corporate OfficerSecretary Feb 1, 2024
John Fitzpatrick Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 6.74%
Brian Kennedy Individual Corporate OfficerCfo Feb 1, 2024
Welltower Inc Organization, Toledo, OH Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2024 25%
Lori a Apple Individual Corporate OfficerPresident Feb 1, 2024
W-2 Managing EmployeePresident Feb 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 170

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 170

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1609647759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 28",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "248-438-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 HANCOCK ST STE 28",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325885",
            "telephone_number": "248-438-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORSOCARE HOSPICE OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "APPLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-302-0899"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CorsoCare Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.