ALTRA HOME HEALTH, LLC
NPI 1992522783
Home Health in Kokomo, IN

Active since September 23, 2024CLIA 15D2312812 · Waiver
2302 S DIXON RD, SUITE 130, KOKOMO, IN 46902(765) 215-2336 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health
  • CLIA Number: 15D2312812
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 10-17-2026

About ALTRA HOME HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Altra Home Health, Llc, a provider established in Kokomo, Indiana operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1992522783 assigned on September 2024. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Nicholas Wynne (Owner / Administrator)

NPI
1992522783 Verify this NPI
Provider Name
ALTRA HOME HEALTH, LLC
Entity Type
Organization
Location Address
2302 S DIXON RD SUITE 130 KOKOMO, IN 46902
Location Phone
(765) 215-2336
Mailing Address
2302 S DIXON RD SUITE 130 KOKOMO, IN 46902
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2024
Last Update Date
09-23-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICHOLAS WYNNE

Authorized Official Title
OWNER / ADMINISTRATOR
Authorized Official Phone
(765) 215-2336

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2312812
Facility Type
Home Health Agency
Certificate Effective Date
October 18, 2024
Certificate Expiration Date
October 17, 2026
Laboratory Director
KAREN MORKEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Altra Home Health, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ALTRA HOME HEALTH, LLC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Ophthalmology
2302 S DIXON RD, STE.100
KOKOMO, IN 46902
Optometrist
2302 S DIXON RD, STE 100
KOKOMO, IN 46902
Ophthalmology
2302 S DIXON RD, #100
KOKOMO, IN 46902
Pain Medicine (Interventional Pain Medicine)
2302 S DIXON RD
KOKOMO, IN 46902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992522783, enumerated as an "organization" on September 23, 2024.

The provider is located at 2302 S DIXON RD SUITE 130 KOKOMO, IN 46902 and the phone number is (765) 215-2336.

Home Health with taxonomy code 251E00000X.