Great Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

15013823-2 Issued in IN

Legal business name

GREAT CARE HOME HEALTH, INC.

Practice address

5511 E 82ND St
Ste C
Indianapolis, IN 46250-4515

Phone

(317) 595-9933

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Julie Sullivan, MSOM

Title

President

Phone

(317) 595-9933

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Home health agency certification: CCN 157722

Legal name

GREAT CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 27, 2022

Last certification

May 27, 2022

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 26, 2015 in IN

Enrollment address

7007 Graham Rd
Ste 102
Indianapolis, IN 46220-4072
HHA Branch

Listed as

Great Care Home Health, IncCCN 157722

Overall star rating

4 of 5

Ownership

Proprietary

Certified

May 27, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

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

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.

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1932563970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 E 82ND ST",
            "address_2": "STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504515",
            "telephone_number": "317-595-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 E 82ND ST",
            "address_2": "STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462504515",
            "telephone_number": "317-595-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-595-9933",
        "authorized_official_credential": "MSOM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "15013823-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Lynne Grayson, M.D., PH.D
• Deandre Grayson, LAT, LMT, ATC, CSCS
• Kristyne L. Grayson, NP.
• Paul Andrew Grayson, LMT
• Nicole M Grdinic
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• Great Lakes Family Dental Group-Indianapolis
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• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, 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 Oct 19, 2016; 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.