Provider Demographics
NPI:1508644683
Name:AVA HOME HEALTH LLC
Entity Type:Organization
Organization Name:AVA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-434-0078
Mailing Address - Street 1:201 S BUMBY AVE STE P
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-6329
Mailing Address - Country:US
Mailing Address - Phone:407-743-0078
Mailing Address - Fax:407-743-0181
Practice Address - Street 1:201 S BUMBY AVE STE P
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-6329
Practice Address - Country:US
Practice Address - Phone:407-473-0078
Practice Address - Fax:407-743-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health