Provider Demographics
NPI:1326889403
Name:AURA HOMECARE LLC
Entity type:Organization
Organization Name:AURA HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEDEJI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-922-8458
Mailing Address - Street 1:1601 HANDBALL LN APT C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1078
Mailing Address - Country:US
Mailing Address - Phone:281-922-8458
Mailing Address - Fax:
Practice Address - Street 1:8189 E 21ST ST UNIT F
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-2576
Practice Address - Country:US
Practice Address - Phone:281-922-8458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health