Provider Demographics
NPI: | 1811740020 |
---|---|
Name: | AVARI CARE |
Entity type: | Organization |
Organization Name: | AVARI CARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GLENN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | JONES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 240-757-2210 |
Mailing Address - Street 1: | 8507 OXON HILL RD STE 200 |
Mailing Address - Street 2: | |
Mailing Address - City: | FORT WASHINGTON |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20744-4774 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8507 OXON HILL RD STE 200 |
Practice Address - Street 2: | |
Practice Address - City: | FORT WASHINGTON |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20744-4774 |
Practice Address - Country: | US |
Practice Address - Phone: | 240-757-2210 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-04-08 |
Last Update Date: | 2024-04-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 385H00000X | Respite Care Facility | Respite Care |