NPIMap

Organization Active NPI

Anew Home Health, LLC

Doing business as Anew Home Health

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1003342882
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANEW HOME HEALTH, LLC
Doing business as
Anew Home Health
Practice address
3830 E Southport Rd Ste 700
Indianapolis, IN 46237-3265
Phone
(765) 447-3443
Fax
(765) 447-5877
NPI assigned
May 11, 2017
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Steve Van Camp, CPA
Title
Ceo of ASC
Phone
(317) 788-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3830 E Southport Rd Ste 700
Indianapolis, IN 46237-3265

Mailing address

210 Professional CT
Lafayette, IN 47905-5225
Phone (765) 447-3443

Other identifiers 2

IdentifierTypeStateIssuer
300009051MedicaidIN
300033670MedicaidIN

Other names 1

  • Anew Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170731001771 IN Part A Provider - Home Health Agency 5799056479 Practice locations: Indianapolis, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003342882. Details of each certification follow.

Home health agency certification: CCN 157187

Legal name
ANEW HOME HEALTH LLC
Doing business as
ANEW HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 21, 1987
Last certification
Aug 26, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 5, 2017 in IN
Enrollment address
3830 E Southport Rd
Ste 700
Indianapolis, IN 46237-3265

Care Compare: Home health agency

Medicare Care Compare
Listed as
Anew Home HealthCCN 157187 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 21, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0861337Anew Home Health LLC, Dba Anew Home Health3830 Southport Rd Suite 700, Indianapolis, IN 46237Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory

Locations

210 Professional Ct
Lafayette, IN 47905
Phone (765) 447-3443

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Ejj V LLC Organization, Indianapolis, IN LLC 5% Or Greater Direct Ownership Interest Sep 27, 2021 23.75%
Wessley E Jackson Irrevocable Trust II Organization, Indianapolis, IN 5% Or Greater Indirect Ownership Interest Sep 27, 2021 6.53%
FSJ 6900 LLC Organization, Indianapolis, IN LLC 5% Or Greater Direct Ownership Interest Jun 8, 2017 23.75%
John Conner Individual Operational/Managerial ControlTrustee of Wesley E Jackson Irr TRT Sep 27, 2021
Franklin L. Jackson Revocable Trust Ua 05202009 Organization, Indianapolis, IN 5% Or Greater Indirect Ownership Interest Jun 8, 2017 23.75%
Mark Jackson Individual 5% Or Greater Indirect Ownership InterestIndirect Owner Jun 8, 2017 19.59%
Corporate DirectorBoard Manager May 7, 2017
Operational/Managerial ControlTrustee, FLJ Rev TRST Ua 05202009 Jun 8, 2017
Michael L Jackson Individual Operational/Managerial ControlTrustee of FLJ Rev TRT Apr 17, 2024
DRJ LP Organization, Indianapolis, IN Holding company 5% Or Greater Direct Ownership Interest Jun 8, 2017 5%
Blake Jackson Individual Corporate DirectorManager, Board of Managers May 7, 2017
Operational/Managerial ControlTrustee of Wesley E Jackson Irr TRT Sep 27, 2021
Lisa Mauceri Individual Operational/Managerial ControlTrustee of FLJ Rev TRT Apr 17, 2024
Wessley Jackson Individual Corporate DirectorManager, Board of Managers May 7, 2017
Covenant Asset and Investment Services LP Organization, Indianapolis, IN Holding company, For-profit 5% Or Greater Direct Ownership Interest Jun 8, 2017 19.79%
Holly Franko Individual Corporate OfficerCoo Sep 30, 2024
Mark Dice Individual Corporate OfficerCfo May 7, 2017
Kyle Jackson Individual Operational/Managerial ControlTrustee of Wesley E Jackson Irr TRT Sep 27, 2021
Abishai XI LP Organization, Indianapolis, IN 5% Or Greater Direct Ownership Interest Sep 27, 2021 7.91%
American Senior Communities LLC Organization, Indianapolis, IN LLC, Management services company, For-profit Operational/Managerial Control May 7, 2017
David Justice Individual Corporate DirectorManager, Board of Managers May 7, 2017
Wej XI LP Organization, Indianapolis, IN 5% Or Greater Direct Ownership Interest Sep 27, 2021 7.91%
Jackson Acorns LP Organization, Indianapolis, IN 5% Or Greater Direct Ownership Interest Sep 27, 2021 7.91%
Sarah Whaley Individual W-2 Managing EmployeeAd; Feb 11, 2026

Facilities with the same owner 92

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

View all 92

Change-of-ownership history 1

DateEventCounterparty
May 7, 2017 Change of OwnershipThis provider was the buyer Physicians Homecare IncCCN 157187, IN, NPI 1780671990

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1003342882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055225",
            "telephone_number": "765-447-3443",
            "fax_number": "765-447-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 E SOUTHPORT RD STE 700",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373265",
            "telephone_number": "765-447-3443",
            "fax_number": "765-447-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "VAN CAMP",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO OF ASC",
        "authorized_official_telephone_number": "317-788-2500",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300009051",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300033670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anew Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.