Organization Active NPI

Transitions Fort Wayne, LLC

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
National Provider Identifier
1699427245
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRANSITIONS FORT WAYNE, LLC
Practice address
2865 E Dupont Rd
Fort Wayne, IN 46825-1668
Phone
(847) 515-1505
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Omar Khamis
Title
Ccfo
Phone
(847) 515-1505

Specialties & licenses 1

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

Addresses

Primary practice location

2865 E Dupont Rd
Fort Wayne, IN 46825-1668

Mailing address

8913 N Prairie Pointe Rd
Peoria, IL 61615-1577
Phone (847) 515-1505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627001879 IN Part A Provider - Hospice 1850770520 Practice locations: Fort Wayne, IN

Hospice certification: CCN 151652

Legal name
TRANSITIONS FORT WAYNE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 15, 2022
Last certification
Nov 11, 2025
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
2865 E Dupont Rd
Fort Wayne, IN 46825-1668

Care Compare: Hospice

Medicare Care Compare
Listed as
Transitions Fort Wayne, LLCCCN 151652
Certified
Dec 15, 2022
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
15D2254640Transitions Fort Wayne LLC2865 Dupont Rd, Fort Wayne, IN 46825Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2877 E DuPont Rd
Fort Wayne, IN 46825

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Omar Khamis Individual Corporate OfficerCfo Dec 3, 2023
Transitions Acquisition LP Organization, Birmingham, MI 5% Or Greater Indirect Ownership Interest Apr 1, 2022
Aberdeen US Private Equity VIII LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Apr 1, 2022 11.36%
Transitions Intermediate Holdings LLC Organization, Naperville, IL LLC 5% Or Greater Direct Ownership Interest Apr 1, 2022 100%
Jenifer R Filo Individual W-2 Managing EmployeeVP of Ops Jul 28, 2025
Lorient Transitions LLC Organization, Birmingham, MI LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2022 39.7%
Jose L Agusti Individual Contracted Managing EmployeeMD; Jan 24, 2025
Heather Lyn English Individual W-2 Managing EmployeeAd; Oct 5, 2025
University of Chicago Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Apr 1, 2022 9.84%
Kai Holdings LLC Organization, Naperville, IL LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2022 38.6%
Patricia Benson Individual Corporate OfficerCeo Dec 3, 2023

Owners & managing parties with NPI records 3

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

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

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": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1699427245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151577",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251668",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS FORT WAYNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KHAMIS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CCFO",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.