Organization Active NPI

Avava Nursing Services Inc

  • Home Health Agency
  • King of Prussia, PA
National Provider Identifier
1184098394
Registry record updated Nov 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
28343601 Issued in PA
Legal business name
AVAVA NURSING SERVICES INC
Practice address
630 Freedom Business Ctr Dr
Third Floor
King of Prussia, PA 19406-1331
Phone
(240) 350-8192
NPI assigned
Nov 26, 2015
Last updated
Nov 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2015

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

Authorized official

Name
Mr. Vincent A Udemba
Title
Administrator
Phone
(240) 350-8192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 28343601 PA Primary

Addresses

Primary practice location

630 Freedom Business Ctr Dr
Third Floor
King of Prussia, PA 19406-1331

Mailing address

8226 Londonderry CT
Laurel, MD 20707-5627
Phone (240) 350-8192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448496000000",
    "number": "1184098394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 LONDONDERRY CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075627",
            "telephone_number": "240-350-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREEDOM BUSINESS CTR DR",
            "address_2": "THIRD FLOOR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061331",
            "telephone_number": "240-350-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAVA NURSING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-26",
        "last_updated": "2015-11-26",
        "status": "A",
        "authorized_official_last_name": "UDEMBA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-350-8192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "28343601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2015; 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.