Provider Demographics
NPI:1154689818
Name:AVENUE HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:AVENUE HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NGIGI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-551-7814
Mailing Address - Street 1:101 BROADWAY RD
Mailing Address - Street 2:UNIT # 11
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4068
Mailing Address - Country:US
Mailing Address - Phone:978-551-7814
Mailing Address - Fax:
Practice Address - Street 1:101 BROADWAY RD
Practice Address - Street 2:UNIT # 11
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4068
Practice Address - Country:US
Practice Address - Phone:978-551-7814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health