Avida Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AVIDA HOME CARE

Practice address

2121 N California Blvd Ste 290
Walnut Creek, CA 94596-7351

Phone

(925) 948-8432

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Raul Mendez

Title

Ceo

Phone

(925) 948-8432

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1427653682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N CALIFORNIA BLVD STE 290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945967351",
            "telephone_number": "925-948-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N CALIFORNIA BLVD STE 290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945967351",
            "telephone_number": "925-948-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIDA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-948-8432"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loryn A Avalos
• Avcare - Seniors in-Home Helpmates
• Julia S. Avedisian-Aguilar, MFT
• Maya Jane Avetisov
• Kristin Avicolli
• Alondra Avila-Diaz, BCABA
• Nharendra Jainn Aviles Lozano
• Gabrielle Nicole Aviles, OTD, OTR/L
• Gloria Aviles
• Awcy, LLC (La Casa Via Transitional Care Center)

• In Home Supportive Care Agency in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.