Organization Active NPI

Concept Therapy Home Health LLC

  • Home Health Agency
  • South Bend, IN
National Provider Identifier
1629806823
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CONCEPT THERAPY HOME HEALTH LLC
Practice address
3222 E Mishawaka Ave
South Bend, IN 46615-2352
Phone
(574) 255-8730
Fax
(574) 217-8235
NPI assigned
Jul 22, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Arkadiusz Debicki
Title
Owner/President
Phone
(574) 292-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3222 E Mishawaka Ave
South Bend, IN 46615-2352

Mailing address

3222 E Mishawaka Ave
South Bend, IN 46615-2352
Phone (574) 255-8730

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250801001453 IN Part A Provider - Home Health Agency 3779091715 Practice locations: South Bend, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629806823. Details of each certification follow.

Home health agency certification: CCN 157734

Legal name
CONCEPT THERAPY HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2025
Last certification
Oct 1, 2025
Organization structure
LLCProprietary
Enrollment address
3222 E Mishawaka Ave
South Bend, IN 46615-2352

Care Compare: Home health agency

Medicare Care Compare
Listed as
Concept Therapy Home Health, LLCCCN 157734 · All quality measures
Ownership
-
Certified
Oct 17, 2025
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
15D2312817Concept Therapy Home Health LLC3222 E Mishawaka Ave, South Bend, IN 46615Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Katie a Debicki Individual Corporate DirectorVice President Jun 5, 2024 50%
Arkadiusz M Debicki Individual 5% Or Greater Direct Ownership InterestOwner Jun 5, 2024 100%
Corporate DirectorPresident Jun 5, 2024 50%
W-2 Managing EmployeeAd; Jun 5, 2024 25%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1629806823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 E MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152352",
            "telephone_number": "574-255-8730",
            "fax_number": "574-217-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 E MISHAWAKA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152352",
            "telephone_number": "574-255-8730",
            "fax_number": "574-217-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT THERAPY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "DEBICKI",
        "authorized_official_first_name": "ARKADIUSZ",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "574-292-6230"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.