NPIMap

Organization Active NPI

Avana Personal Care, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1598201709
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8613-PCS-0 Issued in NV
Legal business name
AVANA PERSONAL CARE, LLC
Practice address
4550 W Oakey Blvd # 111-R
Las Vegas, NV 89102-1581
Phone
(702) 347-7432
Fax
(702) 447-7122
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Miss Genesis S Bautista
Title
Administrator
Phone
(702) 347-7432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8613-PCS-0 NV Primary

Addresses

Primary practice location

4550 W Oakey Blvd # 111-R
Las Vegas, NV 89102-1581

Mailing address

4550 W Oakey Blvd # 111-R
Las Vegas, NV 89102-1581
Phone (702) 347-7432

National Provider Directory

National Provider Directory
Tax ID family
Avana Personal Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1598201709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD # 111-R",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021581",
            "telephone_number": "702-347-7432",
            "fax_number": "702-447-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W OAKEY BLVD # 111-R",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021581",
            "telephone_number": "702-347-7432",
            "fax_number": "702-447-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANA PERSONAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "GENESIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-347-7432",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8613-PCS-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.