NPIMap

Organization Active NPI

Elite Home Rehab and Healthcare Corp

  • Home Health Agency
  • Carmel, IN
National Provider Identifier
1740630110
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HOME REHAB AND HEALTHCARE CORP
Practice address
645 W Carmel Dr Ste 115
Carmel, IN 46032-2605
Phone
(317) 325-8860
NPI assigned
Jun 16, 2016
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Melissa DickeNPI 1891018073
Title
President
Phone
(317) 325-8860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

645 W Carmel Dr Ste 115
Carmel, IN 46032-2605

Mailing address

580 E Carmel Dr Ste 208
Carmel, IN 46032-2814
Phone (317) 325-8860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170419001890 IN Part A Provider - Home Health Agency 6103102579 Practice locations: Carmel, IN; Kokomo, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740630110. Details of each certification follow.

Home health agency certification: CCN 157692

Legal name
ELITE HOME REHAB AND HEALTHCARE CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 15, 2017
Last certification
Aug 25, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 9, 2016 in IN
Enrollment address
645 W Carmel Dr
Ste 115
Carmel, IN 46032-0081
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home Rehab and Healthcare CorpCCN 157692 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
May 15, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
15D2121195Elite Home Rehab and Healthcare Corp645 W Carmel Drive Suite 115, Carmel, IN 46032Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Locations

580 E Carmel Dr
Ste 208
Carmel, IN 46032
Phone (317) 325-8860

645 W Carmel Dr
Ste 115
Carmel, IN 46032
Phone (317) 325-8860

5129 Clinton Dr
Kokomo, IN 46902
Phone (317) 325-8860

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
Melissa Mary Dicke Individual 5% Or Greater Direct Ownership InterestPresident/Treasurer/Secretary Jun 9, 2016 100%
Corporate OfficerPresident/Treasurer/Secretary Jun 9, 2016 75%
W-2 Managing EmployeePresident/Treasurer/Secretary Jun 9, 2016 100%
Kevin Dicke Individual Corporate OfficerVice President Jun 9, 2016 25%

Owners & managing parties with NPI records 1

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

  • Melissa M Dicke
    • Physical Therapist
    • Carmel, IN
    • NPI 1891018073

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1740630110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 E CARMEL DR STE 208",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322814",
            "telephone_number": "317-325-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W CARMEL DR STE 115",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322605",
            "telephone_number": "317-325-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME REHAB AND HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "DICKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-325-8860"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.