Aunova, LLC
Organization Active NPI Home Health Agency · Portage, MI
NPI 1003223496 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1003223496
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AUNOVA, LLC
- Practice address
- 950 Trade Centre Way Ste 140
Portage, MI 49002-0490 - Phone
- (269) 684-0004
- Fax
- (855) 919-6217
- NPI assigned
- Jul 17, 2014
- Organization subpart
- No
Authorized official
- Name
- Tammy Turnmire, RN
- Title
- Compliance Office
- Phone
- (937) 291-3780
Facilities with the same owner 6
Practitioners 4
-
Jake Aldrich, MOT
-
Timothy Turner, PT
-
D.E. Lawrence, PT
Affiliated clinicians 8
-
Angela Coplin, NP
-
Carri Dawn McCarthy, NP-C
-
Keyur Patel, MD
-
Kelly Schultz, PA-C
-
Jenifer D Coffman, FNP
-
Melissa Marie Papczynski, APRN, NP-C
Medicare Care Compare: Home health agency
- Listed as
- Seasons Home Health Care
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Oct 21, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D1036132 | Aunova, LLC | Certificate of waiver | Jan 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Home health agency certification: CCN 239301
- Legal name
- AUNOVA, LLC
- Doing business as
- SEASONS HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 21, 2014
- Last certification
- Oct 21, 2014
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 22, 2013 in MI
- Enrollment address
- 950 Trade Centre Way
Ste 140
Portage, MI 49002-0490
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Tina M Hardwick |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 18.33% |
| Operational/Managerial Control |
Dec 6, 2021 | 18.33% | |
| The LTM Group LLC |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 55% |
| Charles E Randall |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 6.75% |
| Donald Edward Lawrence |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 18.33% |
| Swati Douglas |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 5% |
| Lisa Eckley |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 18.33% |
| Aunova HH Holdings, LLC |
5% Or Greater Direct Ownership Interest | Dec 6, 2021 | 100% |
| Todd M Dockerty |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 5% |
| Randall Home Care Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 30% |
| Sttmi, LLC |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 15% |
| Timothy M Dockerty |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 5% |
| Operational/Managerial Control | Dec 6, 2021 | 5% | |
| Christopher C Randall |
5% Or Greater Indirect Ownership Interest | Dec 6, 2021 | 20.25% |
| Operational/Managerial Control | Dec 6, 2021 | 20.25% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140228001022 | MI | Part a Provider - Home Health Agency | 1052541521 | Practice locations: Portage, MI |
National Provider Directory
Locations
111 W Ferry St
#A
Berrien Springs, MI 49103
Phone (269) 684-0004
20 N 2nd St
Ste 1
Niles, MI 49120
Phone (269) 591-7713
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
950 Trade Centre Way Ste 140
Portage, MI 49002-0490
Mailing address
7750 Paragon Rd
Dayton, OH 45459-4050
Phone (937) 291-3780
Other names
- Seasons Home Health Care
Other providers in Portage, MI
- Atlas Home Health LLC
- Clementine Augenstein
- Angel Augustus
- Sue Augustus
- Hailie Aukerman
- Mary Kathryn Ausich
- Jenna Ausin
- Austin Lake Chiropractic Inc.
- Jennifer Lynn Austin
- Giulia Avelar
All providers in Portage, MI · Home Health Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.