Organization Active NPI

Benevolent Care Home Health Services LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1679427074
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BENEVOLENT CARE HOME HEALTH SERVICES LLC
Practice address
6801 Lake Plaza Dr Ste B215
Indianapolis, IN 46220-4070
Phone
(317) 516-1030
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Mignon R HolderNPI 1487424644
Title
Co-Owner
Phone
(317) 516-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6801 Lake Plaza Dr Ste B215
Indianapolis, IN 46220-4070

Mailing address

6801 Lake Plaza Dr Ste B215
Indianapolis, IN 46220-4070
Phone (317) 516-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Home health agency certification: CCN 15K250

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Benevolent Care Home Health Services LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 10, 2026
Last certification
May 28, 2026
Ownership / control type
Proprietary
Facility address
6801 Lake Plaza Rd Ste B215
Indianapolis, IN 46220

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
15D2340643Benevolent Care Home Health Services6801 Lake Plaza Rd Ste B215, Indianapolis, IN 46220Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1679427074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LAKE PLAZA DR STE B215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204070",
            "telephone_number": "317-516-1030",
            "fax_number": "317-827-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LAKE PLAZA DR STE B215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204070",
            "telephone_number": "317-516-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT CARE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "MIGNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "317-516-1030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.