NPIMap

Organization Active NPI

Ava Health, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Molina, CO
National Provider Identifier
1114817780
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AVA HEALTH, LLC
Practice address
52254 Ke Rd
Molina, CO 81646-5033
Phone
(609) 703-5006
NPI assigned
Jul 7, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Ian Gershman, MBA, MA, CADC II
Title
Chief Operating Officer
Phone
(609) 703-5006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

52254 Ke Rd
Molina, CO 81646-5033

Mailing address

1646 S Deframe St Unit B8
Lakewood, CO 80228-6015
Phone (609) 703-5006

National Provider Directory

National Provider Directory
Tax ID family
Ava Health LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1114817780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 S DEFRAME ST UNIT B8",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286015",
            "telephone_number": "609-703-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52254 KE RD",
            "city": "MOLINA",
            "state": "CO",
            "postal_code": "816465033",
            "telephone_number": "609-703-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "GERSHMAN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-703-5006",
        "authorized_official_credential": "MBA, MA, CADC II"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.