Active NPI
Select Home Health Services, LLC
- Home Health Agency
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 11-012550-1
- Legal business name
- SELECT HOME HEALTH SERVICES, LLC
- Practice address
- 650 E Carmel Dr Ste 400
Carmel, IN 46032-2867 - Phone
- (317) 804-8996
- NPI assigned
- Jan 19, 2011
- Last updated
- Mar 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert A Radics
- Title
- Ceo
- Phone
- (404) 787-1570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 11-012550-1 | IN | Primary |
Addresses
Primary practice location
650 E Carmel Dr Ste 400
Carmel, IN 46032-2867
Mailing address
650 E Carmel Dr Ste 400
Carmel, IN 46032-2867
Phone (317) 804-8996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110426000486 | IN | Part A Provider - Home Health Agency | 3072798602 | Practice locations: Carmel, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689979965. Details of each certification follow.
Home health agency certification: CCN 157635
- Legal name
- SELECT HOME HEALTH SERVICES, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 7, 2011
- Last certification
- Oct 7, 2011
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Dec 27, 2010 in IN
- Enrollment address
- 650 E Carmel Dr
Ste 400
Carmel, IN 46032-2867
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Select Home Health Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 7, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2019220 | Select Home Health Services, LLC | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
650 E Carmel Dr
Ste 400
Carmel, IN 46032
Phone (317) 804-8996
4124 Shelby St
Indianapolis, IN 46227
Phone (317) 941-7852
121 Penn St
Westfield, IN 46074
Phone (317) 804-8996
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lauren G Levinger | Corporate Officer | Nov 13, 2023 | |
| East Rock DJMD Fund, LP | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 7.77% |
| East Rock Granite Fund, LP | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 5.94% |
| Fortis Home Health and Hospice, LLC | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 100% |
| Derek Stotz | Contracted Managing Employee | Jul 11, 2025 | 100% |
| Corporate Officer | Jan 1, 2026 | ||
| SHH Holdco, Inc. | 5% Or Greater Direct Ownership Interest | Nov 19, 2021 | 100% |
| East Rock Lorelei Fund, LP | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 5.49% |
| TMM Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 13.9% |
| Robert Radics | Corporate Officer | May 22, 2023 | |
| W-2 Managing Employee | May 22, 2023 | ||
| Gac-Fortis, LLC | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 77.5% |
| East Rock Victoria Fund, LP | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 22.56% |
| Dominique Smith | W-2 Managing Employee | Oct 1, 2022 | |
| Texas Emerging Managers Private Markets Program, LP | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 6.86% |
| Eref Special Situations, LLC | 5% Or Greater Indirect Ownership Interest | Nov 19, 2021 | 22.86% |
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- West Lafayette, IN
- NPI 1033445895
East Rock DJMD Fund, LP, East Rock Granite Fund, LP, East Rock Victoria Fund, LP, Eref Special Situations, LLC, Fortis Home Health and Hospice, LLC, Gac-Fortis, LLC, SHH Holdco, Inc., Texas Emerging Managers Private Markets Program, LP, TMM Holdin
-
- Community Based Hospice Care Agency
- West Lafayette, IN
- NPI 1760779078
East Rock DJMD Fund, LP, East Rock Granite Fund, LP, East Rock Lorelei Fund, LP, East Rock Victoria Fund, LP, Eref Special Situations, LLC, Fortis Home Health and Hospice, LLC, Gac-Fortis, LLC, SHH Holdco, Inc., Texas Emerging Managers Private Mar
-
- Community Based Hospice Care Agency
- Carmel, IN
- NPI 1023709847
East Rock DJMD Fund, LP, East Rock Granite Fund, LP, East Rock Lorelei Fund, LP, East Rock Victoria Fund, LP, Eref Special Situations, LLC, Fortis Home Health and Hospice, LLC, Gac-Fortis, LLC, SHH Holdco, Inc., Texas Emerging Managers Private Mar
-
dba Valeo Hospice
- Community Based Hospice Care Agency
- Orem, UT
- NPI 1619968781
East Rock DJMD Fund, LP, East Rock Granite Fund, LP, East Rock Lorelei Fund, LP, East Rock Victoria Fund, LP, Eref Special Situations, LLC, Fortis Home Health and Hospice, LLC, Gac-Fortis, LLC, Texas Emerging Managers Private Markets Program, LP
-
dba Valeo Home Health
- Home Health Agency
- Murray, UT
- NPI 1922006493
East Rock DJMD Fund, LP, East Rock Granite Fund, LP, East Rock Lorelei Fund, LP, East Rock Victoria Fund, LP, Eref Special Situations, LLC, Fortis Home Health and Hospice, LLC, Gac-Fortis, LLC, Texas Emerging Managers Private Markets Program, LP
-
dba Valeo Hospice
- Community Based Hospice Care Agency
- Layton, UT
- NPI 1942290960
East Rock DJMD Fund, LP, East Rock Granite Fund, LP, East Rock Lorelei Fund, LP, East Rock Victoria Fund, LP, Eref Special Situations, LLC, Fortis Home Health and Hospice, LLC, Gac-Fortis, LLC, Texas Emerging Managers Private Markets Program, LP
-
dba Valeo Home Health and Hospice
- Community Based Hospice Care Agency
- Murray, UT
- NPI 1780026617
East Rock DJMD Fund, LP, East Rock Granite Fund, LP, East Rock Lorelei Fund, LP, East Rock Victoria Fund, LP, Eref Special Situations, LLC, Fortis Home Health and Hospice, LLC, Gac-Fortis, LLC, Texas Emerging Managers Private Markets Program, LP
Practitioners & affiliated clinicians
Affiliated clinicians 48
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Fishers, IN
- NPI 1528041852
Home health agency
-
- Family Nurse Practitioner
- Bloomington, IN
- NPI 1487221859
Home health agency
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1386244176
Home health agency
-
- Family Nurse Practitioner
- Bloomington, IN
- NPI 1861966970
Home health agency
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1881820249
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1689979965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 E CARMEL DR STE 400",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322867",
"telephone_number": "317-804-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E CARMEL DR STE 400",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322867",
"telephone_number": "317-804-8996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-19",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "RADICS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-787-1570"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IN",
"license": "11-012550-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.