=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326889403
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AURA HOMECARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2024
-----------------------------------------------------
Last Update Date | 06/04/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8189 E 21ST ST UNIT F
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46219-2576
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-922-8458
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1601 HANDBALL LN APT C
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46260-1078
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-922-8458
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ADEDEJI ADESINA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-922-8458
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------