Team Select Home Care of Indiana, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

06-005843-1 Issued in IN

Legal business name

TEAM SELECT HOME CARE OF INDIANA, LLC

Practice address

413 N Washington St Ste 1
Kokomo, IN 46901-4503

Phone

(765) 201-4314

Fax

(765) 205-5044

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mike Lovell

Title

Vice President

Phone

(806) 185-7604

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Team Select Home Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Home health agency certification: CCN 15K189

Legal name

TEAM SELECT HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 25, 2021

Last certification

Jan 25, 2021

Ownership / control type

Proprietary

Facility address

413 N Washington St, Ste 1
Kokomo, IN 46901

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1821159641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187247",
            "telephone_number": "480-618-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N WASHINGTON ST STE 1",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014503",
            "telephone_number": "765-201-4314",
            "fax_number": "765-205-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3928 McCarty Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058924",
            "country_code": "US",
            "telephone_number": "765-566-7999",
            "fax_number": "765-566-7129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9301 S Innovation Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Daleville",
            "state": "IN",
            "postal_code": "473349517",
            "country_code": "US",
            "telephone_number": "765-201-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEAM SELECT HOME CARE OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "806-185-7604"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "06-005843-1",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300058717",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300092397",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300059114",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300092890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Select Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.