Organization Active NPI

Avid Healthcare Services

  • Nursing Care Agency
  • Sacramento, CA
National Provider Identifier
1538565668
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
GNB 32014-03595 Issued in CA
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

Updated by the provider on Jun 9, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.