NPIMap

Organization Active NPI

Community Health at Home, LLC

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1730646589
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY HEALTH AT HOME, LLC
Practice address
8034 Castleway CT W Ste 100
Indianapolis, IN 46250-1915
Phone
(317) 621-4800
NPI assigned
Feb 28, 2019
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jack Hawkins
Title
V.P. Finance & Cfo
Phone
(513) 576-8478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

8034 Castleway CT W Ste 100
Indianapolis, IN 46250-1915

Mailing address

6281 Tri Ridge Blvd Ste 300
Loveland, OH 45140-8345
Phone (513) 576-0262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200403001832 IN Part A Provider - Home Health Agency 4688003155 Practice locations: Indianapolis, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730646589. Details of each certification follow.

Home health agency certification: CCN 157046

Legal name
COMMUNITY HEALTH AT HOME LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 1, 1976
Last certification
Sep 15, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 8, 2019 in IN
Enrollment address
8034 Castleway CT W
Ste 100
Indianapolis, IN 46250-1915

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Health at Home LLCCCN 157046 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 1, 1976
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
15D2172586Community Health at Home8034 Castleway CT West, Suite 100, Indianapolis, IN 46250Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Member of 2

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

Locations

8034 Castleway Ct W
#100
Indianapolis, IN 46250
Phone (317) 621-4800

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
Health at Home Holdco, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 33%
Rochelle Salinas Individual W-2 Managing EmployeeAd; Jan 1, 2023
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 12, 2019 100%
Commonspirit Health at Home, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 100%
CHI National Services LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Aug 12, 2019 100%
Health at Home Blocker, LLC Organization, Englewood, CO LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 67%
Patrick M McGill Individual Corporate OfficerBoard Member Aug 15, 2022
Jason Landis Individual Corporate OfficerBoard Member Feb 17, 2022
Wendy Horn Individual Corporate OfficerBoard Member Aug 12, 2019
Corporate DirectorVP Business Development Aug 12, 2019
Trisha L Crissman Individual Corporate OfficerCoo Aug 12, 2019
Corporate DirectorBoard Member Aug 12, 2019
Community Health Network Inc Organization, Indianapolis, IN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Aug 12, 2019 50%
Jack D Hawkins Individual Corporate OfficerV.P. Finance & Cfo Feb 1, 2022
CHI National Home Care, LLC Organization, Loveland, OH LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 12, 2019 50%
George Hoyek Individual Corporate DirectorBoard Member Jan 1, 2020

Owners & managing parties with NPI records 22

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

View all 22

Facilities with the same owner 43

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

View all 43

Change-of-ownership history 1

DateEventCounterparty
Aug 12, 2019 Change of OwnershipThis provider was the buyer Community Home HealthCCN 157046, IN, NPI 1699740837

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 140

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

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730646589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 TRI RIDGE BLVD STE 300",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408345",
            "telephone_number": "513-576-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8034 CASTLEWAY CT W STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501915",
            "telephone_number": "317-621-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "V.P. FINANCE & CFO",
        "authorized_official_telephone_number": "513-576-8478"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.