Organization Active NPI

Mercy Angels Hospice

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1730938556
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERCY ANGELS HOSPICE
Practice address
7212 N Shadeland Ave Ste 209a
Indianapolis, IN 46250-2030
Phone
(317) 288-5487
Fax
(888) 531-4280
NPI assigned
May 14, 2024
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Summer Grays
Title
Ceo
Phone
(317) 288-5487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Community Based Hospice Care Agency 251G00000X NU

Addresses

Primary practice location

7212 N Shadeland Ave Ste 209a
Indianapolis, IN 46250-2030

Mailing address

7212 N Shadeland Ave Ste 209a
Indianapolis, IN 46250-2030
Phone (317) 288-5487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260319002354 IN Part A Provider - Hospice 1759895329 Practice locations: Indianapolis, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730938556. Details of each certification follow.

Hospice certification: CCN 151670

Legal name
MERCY ANGELS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 11, 2025
Last certification
Nov 19, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
7212 N Shadeland Ave
Ste 209a
Indianapolis, IN 46250-2030

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
15D2332568Mercy Angels Hospice7212 N Shadeland Ave Suite 209, Indianapolis, IN 46250Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Locations

7212 N Shadeland Ave
Ste 209
Indianapolis, IN 46250
Phone (317) 288-5478

7212 N Shadeland Ave
Ste 209A
Indianapolis, IN 46250
Phone (317) 288-5487

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Summer Grays Individual 5% Or Greater Direct Ownership InterestOwner Dec 1, 2024 100%
W-2 Managing EmployeeAd; Dec 1, 2024 100%
Operational/Managerial ControlOwner Dec 8, 2024 100%
Debra a Carter Miller Individual W-2 Managing EmployeeMD; Dec 1, 2024

Owners & managing parties with NPI records 1

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

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": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1730938556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 N SHADELAND AVE STE 209A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502030",
            "telephone_number": "317-288-5487",
            "fax_number": "888-531-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 N SHADELAND AVE STE 209A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502030",
            "telephone_number": "317-288-5487",
            "fax_number": "888-531-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ANGELS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "GRAYS",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-288-5487"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.