NPIMap

Organization Active NPI

Aunova Home Care, LLC

  • Home Health Agency
  • Granger, IN
National Provider Identifier
1679969489
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
15-013602 Issued in IN
Legal business name
AUNOVA HOME CARE, LLC
Practice address
6910 N Main St
Suite 23a
Granger, IN 46530
Phone
(574) 243-9021
Fax
(574) 243-9023
NPI assigned
Apr 8, 2015
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Swati Douglas
Title
Administrator
Phone
(574) 243-9021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 15-013602 IN Primary

Addresses

Primary practice location

6910 N Main St
Suite 23a
Granger, IN 46530

Mailing address

6910 N Main St
Suite 23a
Granger, IN 46530-9680
Phone (574) 243-9021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150821013413 IN Part A Provider - Home Health Agency 8628383528 Practice locations: Granger, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679969489. Details of each certification follow.

Home health agency certification: CCN 157683

Legal name
AUNOVA HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 30, 2015
Last certification
Dec 30, 2015
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 15, 2014 in IN
Enrollment address
6910 N Main St
Suite 23a
Granger, IN 46530-8845

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aunova Home Care LLCCCN 157683 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 30, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, 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
15D2100924Aunova Home Care, LLC6910 N Main St, Ste 23a, Granger, IN 46530Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

6910 N Main St
Ste 23A
Granger, IN 46530
Phone (574) 243-9021

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Swati Douglas Individual 5% Or Greater Direct Ownership InterestMember Aug 7, 2021 100%
Corporate OfficerGoverning Board Member Aug 7, 2021 100%
Corporate DirectorGoverning Board Member Aug 7, 2021 100%
W-2 Managing EmployeeAd; Mar 10, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1679969489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "SUITE 23A",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309680",
            "telephone_number": "574-243-9021",
            "fax_number": "574-243-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "SUITE 23A",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-243-9021",
            "fax_number": "574-243-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUNOVA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SWATI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "574-243-9021"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "15-013602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.