Avia Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVIA HOME HEALTH CARE LLC

Practice address

19080 Broadmoore Dr
Eden Prairie, MN 55346-1028

Phone

(917) 499-5843

NPI assigned

Jan 27, 2025

Last updated

Jan 27, 2025By 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

Judy Ann TanNPI 1427321116

Title

Coo

Phone

(917) 499-5843

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judy Ann King Tan, M.D.

  • Internal Medicine Physician
  • St Louis Park, MN
  • NPI 1427321116
  NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1841002763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19080 BROADMOORE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553461028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19080 BROADMOORE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553461028",
            "telephone_number": "917-499-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JUDY ANN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "917-499-5843"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marc T. Awobuluyi, M.D.
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• Rachel Ann Baber, OTR/L

• Home Health Agency in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.