Active NPI
Heart to Heart Hospice of Southwest Indiana LLC
- Community Based Hospice Care Agency
- Jasper, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 06-005816-1
- Legal business name
- HEART TO HEART HOSPICE OF SOUTHWEST INDIANA LLC
- Practice address
- 415 E 6TH St
Jasper, IN 47546 - Phone
- (812) 482-2012
- Fax
- (812) 482-2018
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly O Mitchell
- Title
- Manager
- Phone
- (972) 517-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 06-005816-1 | IN | Primary |
Addresses
Primary practice location
415 E 6TH St
Jasper, IN 47546
Mailing address
7240 Chase Oak Blvd
Plano, TX 75025-5901
Phone (972) 517-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200148960 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070122000039 | IN | Part A Provider - Hospice | 2466453311 | Practice locations: Corydon, IN; Jasper, IN |
| O20170712001740 | IN | Part B Supplier - Clinic/Group Practice | 2466453311 |
Receives reassigned benefits from 1 practitioner Practice locations: Jasper, IN |
Hospice certification: CCN 151514
- Legal name
- HEART TO HEART HOSPICE OF SOUTHWEST INDIANA LLC
- Doing business as
- HEART TO HEART HOSPICE OF SOUTHWEST INDIANA LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 31, 1992
- Last certification
- Jun 19, 2012
- Ownership / control type
- Proprietary - Individual
- Organization structure
- LLC
- Enrollment address
- 415 E 6TH St
Jasper, IN 47546-2918
Care Compare: Hospice
Medicare Care Compare- Listed as
- Heart to Heart Hospice of Southwest Indiana LLC
- Ownership
- For-Profit
- Certified
- Mar 31, 1992
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2075189 | Heart to Heart Hospice of Southwest Indiana, LLC | Certificate of waiver | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
113 N Oak St
Corydon, IN 47112
Phone (812) 773-5150
511 E 4th St
Ste 111
Huntingburg, IN 47542
Phone (812) 683-4216
501 E 6th St
Ofc
Jasper, IN 47546
Phone (812) 482-2012
415 E 6th St
Jasper, IN 47546
Phone (812) 482-2012
1 Cass City Ctr
Ste 214217
Logansport, IN 46947
Phone (574) 336-2059
620 W Edison Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 855-4475
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Indiana Hospice DFW, LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 6.25% |
| Holly Bredemeier | W-2 Managing Employee | Apr 11, 2016 | |
| Heart to Heart Indiana Holdco, LLC | 5% Or Greater Direct Ownership Interest | Oct 27, 2021 | 100% |
| Heart to Heart Hospice Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 100% |
| Indiana Hospice DFW Two, LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 6.25% |
| Mary Burgeson | Contracted Managing Employee | Dec 1, 2021 | |
| H to H Founders, LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 59.83% |
| Htohh Preferred LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 39.92% |
| Indiana Medical Couriers and Express Delivery Services, LLC | 5% Or Greater Indirect Ownership Interest | Oct 27, 2021 | 87.5% |
| Kelly Mitchell | 5% Or Greater Indirect Ownership Interest | Jun 1, 2016 | 65.87% |
| Corporate Officer | Dec 9, 2013 | ||
| Corporate Director | Dec 9, 2013 | ||
| W-2 Managing Employee | Jun 27, 2016 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1972565026
Contracted Managing Employee
Facilities with the same owner 40
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Marion, IN
- NPI 1932104247
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Elkhart, IN
- NPI 1841821741
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Evansville, IN
- NPI 1588213425
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Indianapolis, IN
- NPI 1497976393
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1881243509
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Mishawaka, IN
- NPI 1295049724
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Valparaiso, IN
- NPI 1023667755
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Terre Haute, IN
- NPI 1851729909
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Heart to Heart Indiana Holdco, LLC, Htohh Preferred LLC, Indiana Hospice DFW Two, LLC, Indiana Hospice DFW, LLC, Indiana Medical Couriers and Express Delivery Services, LLC
-
- Community Based Hospice Care Agency
- Chesterfield Township, MI
- NPI 1952875080
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
- Community Based Hospice Care Agency
- Fort Worth, TX
- NPI 1306351556
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
- Community Based Hospice Care Agency
- Sugar Land, TX
- NPI 1982056644
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
-
- Community Based Hospice Care Agency
- Jourdanton, TX
- NPI 1851651376
H to H Founders, LLC, Heart to Heart Hospice Holdings LLC, Htohh Preferred LLC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice Registered Nurse
- Mishawaka, IN
- NPI 1457001281
Affiliated clinicians 23
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": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526256000000",
"number": "1962585430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7240 CHASE OAK BLVD",
"city": "PLANO",
"state": "TX",
"postal_code": "750255901",
"telephone_number": "972-517-6300",
"fax_number": "972-517-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E 6TH ST",
"city": "JASPER",
"state": "IN",
"postal_code": "47546",
"telephone_number": "812-482-2012",
"fax_number": "812-482-2018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART TO HEART HOSPICE OF SOUTHWEST INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"last_updated": "2018-05-14",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-517-6300"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IN",
"license": "06-005816-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200148960",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.