Organization Active NPI

Select Home Health Services, LLC

  • Home Health Agency
  • Carmel, IN
National Provider Identifier
1689979965
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11-012550-1 Issued in IN
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Dec 27, 2010 in IN
Enrollment address
650 E Carmel Dr
Ste 400
Carmel, IN 46032-2867
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Select Home Health Services, IncCCN 157635 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 7, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
15D2019220Select Home Health Services, LLC650 E Carmel Drive, Ste 400, Carmel, IN 46032Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lauren G Levinger Individual Corporate OfficerVP Shared Services Nov 13, 2023
East Rock DJMD Fund, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 7.77%
East Rock Granite Fund, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 5.94%
Fortis Home Health and Hospice, LLC Organization, New York, NY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 100%
Derek Stotz Individual Contracted Managing EmployeePresident Jul 11, 2025 100%
Corporate Officer Jan 1, 2026
SHH Holdco, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 19, 2021 100%
East Rock Lorelei Fund, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 5.49%
TMM Holdings, Inc. Organization, Westfield, IN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 13.9%
Robert Radics Individual Corporate OfficerCeo May 22, 2023
W-2 Managing EmployeeCeo May 22, 2023
Gac-Fortis, LLC Organization, New York, NY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 77.5%
East Rock Victoria Fund, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 22.56%
Dominique Smith Individual W-2 Managing Employee Oct 1, 2022
Texas Emerging Managers Private Markets Program, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 19, 2021 6.86%
Eref Special Situations, LLC Organization, New York, NY LLC, For-profit 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.

Practitioners & affiliated clinicians

Affiliated clinicians 48

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 48

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

Verify at the official NPI Registry.