Organization Active NPI

Ayur Home Health Inc

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1992441224
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AYUR HOME HEALTH INC
Practice address
6525 E 82ND St Ste 103
Indianapolis, IN 46250-1545
Phone
(317) 513-2886
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Gopi GorantlaNPI 1629855424
Title
Owner
Phone
(317) 513-2886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6525 E 82ND St Ste 103
Indianapolis, IN 46250-1545

Mailing address

6525 E 82ND St Ste 103
Indianapolis, IN 46250-1545

Other names 1

  • Ayur 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
O20230919002181 IN Part A Provider - Home Health Agency 9739543133 Practice locations: Indianapolis, IN

Home health agency certification: CCN 157726

Legal name
AYUR HOME HEALTH INC
Doing business as
AYUR HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 27, 2023
Last certification
Nov 16, 2023
Organization structure
LLCProprietary
Incorporated
Apr 4, 2022 in IN
Enrollment address
6525 E 82ND St
Ste 103
Indianapolis, IN 46250-1545

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ayur Home HealthCCN 157726
Overall star rating
2.5 of 5
Ownership
-
Certified
Nov 27, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
15D2277475Ayur Home Health Inc Dba Ayur Home Health6525 E 82ND St Suite 103, Indianapolis, IN 46250Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Lisa Fagan Individual Corporate OfficerTreasurer Apr 4, 2022 25%
Naga Renuka Makkena Individual Corporate OfficerVice President Apr 4, 2022 25%
Gopi K Gorantla Individual 5% Or Greater Direct Ownership InterestPresident Apr 4, 2022 100%
Corporate OfficerPresident Apr 4, 2022 25%
W-2 Managing EmployeePresident Apr 4, 2022 100%
Elizabeth Burns Individual Corporate OfficerSecretary Apr 4, 2022 25%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1992441224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 E 82ND ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 E 82ND ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501545",
            "telephone_number": "317-513-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYUR HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "GORANTLA",
        "authorized_official_first_name": "GOPI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-513-2886"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ayur Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.