Organization Active NPI

Avid Care Professionals

  • In Home Supportive Care Agency
  • Glendale, CA
National Provider Identifier
1306587738
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AVID CARE PROFESSIONALS
Practice address
201 N Brand Blvd Unit 200
Glendale, CA 91203-3590
Phone
(661) 644-8372
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Victor Ariel Greene
Title
Ceo
Phone
(661) 644-8372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

201 N Brand Blvd Unit 200
Glendale, CA 91203-3590

Mailing address

201 N Brand Blvd Unit 200
Glendale, CA 91203-3590
Phone (661) 644-8372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1306587738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BRAND BLVD UNIT 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033590",
            "telephone_number": "661-644-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BRAND BLVD UNIT 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033590",
            "telephone_number": "661-644-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID CARE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-644-8372"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.