NPI Code Details Logo

NPI 1003223496

NPI 1003223496 : AUNOVA, LLC : PORTAGE, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003223496
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AUNOVA, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/17/2014
-----------------------------------------------------
    Last Update Date     |    09/12/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    950 TRADE CENTRE WAY STE 140 
-----------------------------------------------------
    City                 |    PORTAGE
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49002-0490
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    269-684-0004
-----------------------------------------------------
    Fax                  |    855-919-6217
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7750 PARAGON RD 
-----------------------------------------------------
    City                 |    DAYTON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45459-4050
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    937-291-3780
-----------------------------------------------------
    Fax                  |    937-291-3789
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COMPLIANCE OFFICE
-----------------------------------------------------
    Name                 |     TAMMY  TURNMIRE 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    937-291-3780
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.