Active NPI
Avid Healthcare Services
- Nursing Care Agency
- Sacramento, CA
National Provider Identifier
1538565668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- GNB 32014-03595
- Legal business name
- AVID HEALTHCARE SERVICES
- Practice address
- 1618 Broadway
Sacramento, CA 95818-2318 - Phone
- (916) 903-4423
- Fax
- (916) 473-5809
- NPI assigned
- Nov 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen Kurenty
- Title
- Director of Operations
- Phone
- (916) 903-4424
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | GNB 32014-03595 | CA | Primary |
Addresses
Primary practice location
1618 Broadway
Sacramento, CA 95818-2318
Mailing address
3626 Fair Oaks Blvd Ste 100
Sacramento, CA 95864-7200
Phone (916) 903-4424
National Provider Directory
National Provider DirectoryLocations
1618 Broadway
Sacramento, CA 95818
Phone (916) 903-4423
8880 Cal Center Dr
Ste 400
Sacramento, CA 95826
Phone (916) 582-5582
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Sacramento, CA
- NPI 1053151076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591660800000",
"number": "1538565668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 FAIR OAKS BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958647200",
"telephone_number": "916-903-4424",
"fax_number": "916-473-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 BROADWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958182318",
"telephone_number": "916-903-4423",
"fax_number": "916-473-5809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVID HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-18",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A",
"authorized_official_last_name": "KURENTY",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "916-903-4424",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CA",
"license": "GNB 32014-03595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.