Avenue Home Healthcare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

233310 Issued in FL

Legal business name

AVENUE HOME HEALTHCARE, LLC

Doing business as

Avenue Supportive Care

Practice address

5440 N State Road 7
Suite 208
Fort Lauderdale, FL 33319-2956

Phone

(954) 915-7478

Fax

(954) 333-3963

NPI assigned

Oct 7, 2013

Last updated

Oct 7, 2013By 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

Mrs. Rose Goldie Louis

Title

Administrator

Phone

(954) 915-7478

Specialties & licenses 1

Addresses

Other names 1

• Avenue Supportive Care Doing business as

Locations

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1356778203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 N STATE ROAD 7",
            "address_2": "SUITE 208",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192956",
            "telephone_number": "954-915-7478",
            "fax_number": "954-333-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 N STATE ROAD 7",
            "address_2": "SUITE 208",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192956",
            "telephone_number": "954-915-7478",
            "fax_number": "954-333-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "ROSE GOLDIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-915-7478",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Supportive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Avicenna Solutions LLC
• Jennifer M Avila Estrada I
• Alfred Ignacio Avila
• Jemily Avila

• In Home Supportive Care Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.