Organization Active NPI

Av Healing Hands, LLC

  • Durable Medical Equipment & Medical Supplies
  • College Park, MD
National Provider Identifier
1104415108
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AV HEALING HANDS, LLC
Practice address
7307 Baltimore Ave Ste 108B
College Park, MD 20740-3231
Phone
(240) 375-1670
Fax
(202) 946-5904
NPI assigned
Jan 13, 2021
Last updated
Sep 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angelique Lynette VailesNPI 1124593686
Title
Owner
Phone
(240) 375-1670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

7307 Baltimore Ave Ste 108B
College Park, MD 20740-3231

Mailing address

7307 Baltimore Ave Ste 108B
College Park, MD 20740-3231
Phone (240) 375-1670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1104415108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 BALTIMORE AVE STE 108B",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403231",
            "telephone_number": "240-375-1670",
            "fax_number": "202-946-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 BALTIMORE AVE STE 108B",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403231",
            "telephone_number": "240-375-1670",
            "fax_number": "202-946-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV HEALING HANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "VAILES",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-375-1670"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.