Organization Active NPI

Indianapolis Home Care, Inc

Doing business as Interim HealthCare of Indianapolis

  • Home Health Agency
  • Greenwood, IN
National Provider Identifier
1962675561
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
07-006364-2 Issued in IN
Legal business name
INDIANAPOLIS HOME CARE, INC
Doing business as
Interim HealthCare of Indianapolis
Practice address
373 Meridian Parke LN Ste A1
Greenwood, IN 46142-9400
Phone
(317) 755-1687
Fax
(317) 992-2266
NPI assigned
Apr 4, 2008
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Mr. Thomas J Dimarco
Title
Chief Executive Officer
Phone
(614) 436-9404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 07-006364-2 IN Primary

Addresses

Primary practice location

373 Meridian Parke LN Ste A1
Greenwood, IN 46142-9400

Mailing address

373 Meridian Parke LN Ste A1
Greenwood, IN 46142-9400
Phone (317) 755-1687

Other identifiers 2

IdentifierTypeStateIssuer
200885920AMedicaidIN
200888320AOtherINMEDICAID WAIVER

Other names 1

  • Interim HealthCare of Indianapolis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080827000197 IN Part A Provider - Home Health Agency 3678649662 1 other NPI on this enrollment
Practice locations: Anderson, IN; Greenwood, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962675561. Details of each certification follow.

Home health agency certification: CCN 157259

Legal name
INDIANAPOLIS HOME CARE, INC
Doing business as
INTERIM HEALTHCARE OF INDIANAPOLIS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 14, 1993
Last certification
Sep 20, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 20, 2007 in IN
Enrollment address
373 Meridian Parke Lane
Ste A1
Greenwood, IN 46142-9400

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare of IndianapolisCCN 157259 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 14, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 W 11th St
Ste 250
Anderson, IN 46016
Phone (765) 442-3700

616 E 8th St
Anderson, IN 46012
Phone (765) 442-3700

5401 S East St
Ste 210
Indianapolis, IN 46227
Phone (317) 755-1687

8803 N Meridian St
Ste 300
Indianapolis, IN 46260
Phone (317) 218-3787

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Ashley Warrenburg Individual W-2 Managing EmployeeAdministrator Feb 15, 2021
Operational/Managerial ControlAdministrator Feb 15, 2021
Angela Johnson Individual Corporate OfficerRegional Vice President Jan 31, 2022
Operational/Managerial ControlRegional Vice President Jan 31, 2022
Salo Inc Organization, Worthington, OH Corporation, Management services company, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 4, 2016 100%
Jason Merkle Individual Corporate OfficerExecutive Vice President Mar 11, 2024
Corporate DirectorBoard Member Apr 1, 2025
W-2 Managing EmployeeExecutive Vice President Mar 11, 2024
Christine D Oswald Individual 5% Or Greater Indirect Ownership Interest Apr 16, 2004 8.56%
Corporate OfficerPresident/Cfo Apr 16, 2004 8.56%
Corporate DirectorBoard Member Apr 16, 2004 8.56%
Thomas Joseph Dimarco Individual 5% Or Greater Indirect Ownership Interest Nov 7, 2004 75.78%
Corporate OfficerCeo Nov 7, 2004 75.78%
Corporate DirectorBoard Member Nov 7, 2004 75.78%
Diane S Piccard Individual Corporate OfficerCfo Jun 4, 2016

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1962675561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 MERIDIAN PARKE LN STE A1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429400",
            "telephone_number": "317-755-1687",
            "fax_number": "317-992-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 MERIDIAN PARKE LN STE A1",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429400",
            "telephone_number": "317-755-1687",
            "fax_number": "317-992-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-436-9404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "07-006364-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200885920A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "200888320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Indianapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.