Provider Demographics
NPI:1730483371
Name:AVERY HEALTH SYSTEMS, LLC
Entity Type:Organization
Organization Name:AVERY HEALTH SYSTEMS, LLC
Other - Org Name:AVERY HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-274-3607
Mailing Address - Street 1:10480 LITTLE PATUXENT PKWY
Mailing Address - Street 2:SUITE #400
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3568
Mailing Address - Country:US
Mailing Address - Phone:866-274-3607
Mailing Address - Fax:410-846-5391
Practice Address - Street 1:10480 LITTLE PATUXENT PKWY
Practice Address - Street 2:SUITE #400
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3568
Practice Address - Country:US
Practice Address - Phone:866-274-3607
Practice Address - Fax:410-846-5391
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVERY SYSTEMS CAPITAL PARTNERS, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies