Avana Personal Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

8613-PCS-0 Issued in NV

Legal business name

AVANA PERSONAL CARE, LLC

Practice address

4550 W Oakey Blvd Ste 111-R
Las Vegas, NV 89102-1581

Phone

(702) 822-2188

Fax

(702) 447-7122

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Genesis S Bautista

Title

Administrator

Phone

(702) 822-2188

Specialties & licenses 1

Addresses

Tax ID family

Avana Personal Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Avana Personal Care

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1598121238
  NPD tax ID
• Avana Personal Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1598201709
  NPD tax ID
• Avana Personal Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1922546688
  NPD tax ID

Locations

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1114465879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD # 111-R",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021581",
            "telephone_number": "702-822-2188",
            "fax_number": "702-447-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD STE 111-R",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021581",
            "telephone_number": "702-822-2188",
            "fax_number": "702-447-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANA PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "GENESIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-822-2188"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8613-PCS-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Avalos
• Roxana Avalos
• Veronica Avalos
• Yesenia Avalos, LADC, CPGC
• Avana Personal Care
• Avana Personal Care, LLC
• Avana Personal Care, LLC
• Avana Plastic Surgery LLC
• Armen Avdalyan
• Gayane Avdalyan

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.