Provider Demographics
NPI:1477854677
Name:AVEL HOME HEALTH INC
Entity Type:Organization
Organization Name:AVEL HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:AVELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-208-0379
Mailing Address - Street 1:12196 SW 128TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5231
Mailing Address - Country:US
Mailing Address - Phone:786-208-0379
Mailing Address - Fax:
Practice Address - Street 1:12196 SW 128TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5231
Practice Address - Country:US
Practice Address - Phone:786-208-0379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGOtherPENDING