Provider Demographics
NPI:1376221077
Name:AV HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:AV HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAILENDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHANASREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-962-6500
Mailing Address - Street 1:9331 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3753
Mailing Address - Country:US
Mailing Address - Phone:913-962-6500
Mailing Address - Fax:
Practice Address - Street 1:9331 W 87TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3753
Practice Address - Country:US
Practice Address - Phone:913-962-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care