NPIMap

Organization Active NPI

Paradigm Living Concepts, LLC

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
National Provider Identifier
1669186334
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PARADIGM LIVING CONCEPTS, LLC
Practice address
10020 Lima Rd Ste D
Fort Wayne, IN 46818-9144
Phone
(317) 735-6001
Fax
(855) 450-1177
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Jeffrey Noah Jarecki, MBA
Title
President / Ceo
Phone
(317) 735-6001

Specialties & licenses 1

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

Addresses

Primary practice location

10020 Lima Rd Ste D
Fort Wayne, IN 46818-9144

Mailing address

8904 Bash St Ste B
Indianapolis, IN 46256-1286
Phone (317) 735-6001

Other names 1

  • Paradigm Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328000452 IN Part A Provider - Hospice 1355575424 Practice locations: Fort Wayne, IN; Mishawaka, IN

Hospice certification: CCN 151664

Legal name
PARADIGM LIVING CONCEPTS LLC
Doing business as
PARADIGM HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 12, 2024
Last certification
Sep 5, 2024
Organization structure
LLCProprietary
Incorporated
Aug 25, 2008 in IN
Enrollment address
10020 Lima Rd
Ste D
Fort Wayne, IN 46818-9144

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Paradigm HealthCCN 151664
Certified
Sep 12, 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
15D2276041Paradigm Living Concepts10020 Lima Road, Suite D, Fort Wayne, IN 46818Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Paradigm Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

480 E Northfield Dr
Ste 300
Brownsburg, IN 46112
Phone (317) 735-6001

11 S Morton St
Franklin, IN 46131
Phone (317) 735-6001

509 E Lincoln Rd
Kokomo, IN 46902
Phone (317) 735-6001

2122 Veterans Memorial Pkwy S
Ste D
Lafayette, IN 47909
Phone (317) 735-6001

3507 W Fox Ridge Ln
Muncie, IN 47304
Phone (317) 735-6001

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Cressey & Company Fund VII LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 33.6%
PLC Acquisition, LLC Organization, Dallas, TX Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 21, 2021 100%
Jenna Grimes Individual W-2 Managing Employee Jun 21, 2021
Cressey & Company Fund VII-a LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 40.2%
New York State Teachers' Retirement System Organization, Albany, NY 5% Or Greater Indirect Ownership Interest May 6, 2025 5.5%
CC PLC Splitter, LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 40.9%
PLC Intermediate, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 21, 2021 100%
PLC Employee Holdings, Inc. Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest May 6, 2025 4.6%
Sarah Sanger Lemke Individual OtherHospice Administrator Aug 12, 2024
CC PLC Blocker, LLC Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 40.9%
Andrew Worswick Individual Corporate Officer Jun 21, 2021
W-2 Managing Employee Jun 21, 2021
Havencrest Healthcare Partners II, LP Organization, Dallas, TX Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 20.7%
Karthik R Polsani Individual Corporate DirectorMedical Director Aug 12, 2024
CC PLC Buyer, LLC Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 33.6%
Cressey & Company GP VII LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025 5.1%
Cressey & Company LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest May 6, 2025
Jessica Nagel Individual W-2 Managing Employee Jun 21, 2021
PLC HC I, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 21, 2021 100%

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 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

Affiliated clinicians 2

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1669186334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 BASH ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561286",
            "telephone_number": "317-735-6001",
            "fax_number": "855-450-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 LIMA RD STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189144",
            "telephone_number": "317-735-6001",
            "fax_number": "855-450-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM LIVING CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "JARECKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "317-735-6001",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradigm Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.