Altra Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALTRA HOME HEALTH, LLC

Practice address

2302 S Dixon Rd
Suite 130
Kokomo, IN 46902

Phone

(765) 215-2336

NPI assigned

Sep 23, 2024

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Wynne

Title

Owner / Administrator

Phone

(765) 215-2336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992522783. Details of each certification follow.

• CCN 15K214 Home health agency · Active · Name & address match · Details

Home health agency certification: CCN 15K214

Legal name

ALTRA HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 13, 2025

Last certification

Mar 6, 2025

Facility address

2302 S Dixon Road
Kokomo, IN 46902

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1992522783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S DIXON RD",
            "address_2": "SUITE 130",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S DIXON RD",
            "address_2": "SUITE 130",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46902",
            "telephone_number": "765-215-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTRA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "765-215-2336"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.