GREAT LAKES CARING HOSPICE C IN, LLC (NPI# 1578950895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578950895 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES CARING HOSPICE C IN, LLC |
| Other Organization Name | ELARA CARING |
| Practice Address |
5420 W Southern Ave Ste 302a Indianapolis IN 46241-5568 |
| Mailing Address |
900 Cooper St Jackson MI 49202-3398 |
| Practice Telephone | 8664377770 |
| Practice Fax Number | 3178374130 |
| Mailing Telephone | 5177809500 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | DEBRA MILLER (VP OF REGULATORY) |
| Authorized Official Telephone | 9035377612 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Elara Caring | Doing Business As Name - Organization |
| Great Lakes Caring | Doing Business As Name - Organization |
| Great Lakes Caring, a Part of the Elara Caring Network | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GREAT LAKES CARING HOSPICE C IN, LLC | 900 Cooper St, Jackson, MI 49202 |
| Street Address |
5420 W SOUTHERN AVE STE 302A |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180168 | Adaptive Hospice, Inc. | Hospice Care, Community Based | 777 Beachway Dr Ste 302, Indianapolis, IN 46224-7876 | 2020-10-08 |
| 1699235887 | Brighton Hospice Indiana LLC | Hospice Care, Community Based | 280 E 96th St Ste 250, Indianapolis, IN 46240-3853 | 2019-03-22 |
| 1629504303 | Life's Journey of Avon,llc | Hospice Care, Community Based | 10241 E. Co Rd 100 N., Indianapolis, IN 46234 | 2017-05-02 |
| 1770968570 | Health Works | Hospice Care, Community Based | 7460 E 30th St, Indianapolis, IN 46219-1111 | 2015-07-22 |
| 1538540638 | Anew Hospice LLC | Hospice Care, Community Based | 3830 E Southport Rd Ste 300, Indianapolis, IN 46237-3261 | 2015-06-15 |
| 1093102105 | Brookdale Hospice, LLC | Hospice Care, Community Based | 9100 Purdue Rd Ste 100, Indianapolis, IN 46268-1190 | 2015-04-16 |
| 1427395946 | Freedom Hospice, LLC | Hospice Care, Community Based | 7215 E 21st St Ste A, Indianapolis, IN 46219-1777 | 2013-01-04 |
| 1912264946 | Intrepid of Northern Indiana, Inc. | Hospice Care, Community Based | 6002 W 62nd St Ste B, Indianapolis, IN 46278-2909 | 2012-04-16 |
| 1679746267 | Seasons Hospice & Palliative Care of Indiana LLC | Hospice Care, Community Based | 2629 Waterfront Parkway East Dr, Ste 375, Indianapolis, IN 46214-2076 | 2008-04-04 |
| 1336337625 | Peoplefirst Homecare & Hospice of Indiana, LLC | Hospice Care, Community Based | 9785 Crosspoint Blvd, Suite 104, Indianapolis, IN 46256-3356 | 2007-10-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
Please comment or provide details below to improve the information on GREAT LAKES CARING HOSPICE C IN, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.