Provider Demographics
NPI:1003342882
Name:ANEW HOME HEALTH, LLC
Entity Type:Organization
Organization Name:ANEW HOME HEALTH, LLC
Other - Org Name:ANEW HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-788-2500
Mailing Address - Street 1:210 PROFESSIONAL CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-5105
Mailing Address - Country:US
Mailing Address - Phone:765-447-3443
Mailing Address - Fax:765-447-5877
Practice Address - Street 1:3830 E SOUTHPORT RD STE 700
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-3265
Practice Address - Country:US
Practice Address - Phone:765-447-3443
Practice Address - Fax:765-447-5877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300009051Medicaid
IN300033670Medicaid