Provider Demographics
NPI:1922862242
Name:AVA HEALTH CARE LLC
Entity Type:Organization
Organization Name:AVA HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURDEN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:850-977-6311
Mailing Address - Street 1:2719 N PACE BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-5647
Mailing Address - Country:US
Mailing Address - Phone:850-977-6311
Mailing Address - Fax:850-471-8041
Practice Address - Street 1:2719 N PACE BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-5647
Practice Address - Country:US
Practice Address - Phone:850-977-6311
Practice Address - Fax:850-471-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care