Provider Demographics
NPI:1114430139
Name:AVB & LV CORPORATION
Entity Type:Organization
Organization Name:AVB & LV CORPORATION
Other - Org Name:TEMPLE OF LIFE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:V
Authorized Official - Last Name:BILYY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:747-236-3155
Mailing Address - Street 1:18340 VENTURA BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4234
Mailing Address - Country:US
Mailing Address - Phone:818-390-0011
Mailing Address - Fax:
Practice Address - Street 1:18340 VENTURA BLVD STE 220
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:747-236-3155
Practice Address - Fax:888-252-0798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health