Provider Demographics
NPI:1043547177
Name:AVANT-GARDE HEALTH CARE LLC
Entity Type:Organization
Organization Name:AVANT-GARDE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-586-5017
Mailing Address - Street 1:6500 BUSCH BLVD
Mailing Address - Street 2:STE 114
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1785
Mailing Address - Country:US
Mailing Address - Phone:614-586-5017
Mailing Address - Fax:
Practice Address - Street 1:6500 BUSCH BLVD
Practice Address - Street 2:STE 114
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1785
Practice Address - Country:US
Practice Address - Phone:614-586-5017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health