Avila Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AVILA RESIDENTIAL SERVICES, INC.

Doing business as

Avila Residential Services, Inc.

Practice address

372 Live Oak LN
Galax, VA 24333-5476

Phone

(276) 238-7100

NPI assigned

Oct 19, 2022

Last updated

May 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nick R Avila IIINPI 1982203550

Title

Executive Director/ Owner

Phone

(276) 238-7100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Avila Residential Services, Inc. Doing business as

Tax ID family

Avila Residential Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Avila Residential Services, Inc.

  • Behavior Analyst
  • Galax, VA
  • NPI 1225888092
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Avila Residential Services, Inc.

  • Behavior Analyst
  • Galax, VA
  • NPI 1225888092
  NPPES parent name

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.

• Nick R Avila III

  • Behavior Analyst
  • Galax, VA
  • NPI 1982203550
  NPD Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1174249254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 LIVE OAK LN",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335476",
            "telephone_number": "276-238-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 LIVE OAK LN",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335476",
            "telephone_number": "276-238-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVILA RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "276-238-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8568-14-035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avila Residential Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avila Residential Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allerim Clinic PLLC
• Anthony Anderson
• Jo Ann Arey, MD
• At Home MD LLC
• Autumn Corporation (Waddell Nursing & Rehab Center)
• Avila Residential Services, Inc.
• Nick R Avila III
• Kala Hodge Ayers, LPC
• Regina Leigh Ayers, M.ED.
• Sandra Hylton Ayers, RN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Galax, VA
• Providers in Galax, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

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