Avad Care LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Boardman, OH
NPI 1962106930 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1962106930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- AVAD CARE LLC
- Practice address
- 6426 Market St
Boardman, OH 44512-3434 - Phone
- (330) 687-4750
- NPI assigned
- Mar 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Andrew Dawson
- Title
- Owner
- Phone
- (330) 687-4750
Practitioners 2
-
Heather Ashley Dawson, APRN, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241016003319 | OH | Part B Supplier - Clinic/Group Practice | 5294267175 |
Receives reassigned benefits from 1 practitioner Practice locations: Boardman, OH |
National Provider Directory
Locations
6426 Market St
Youngstown, OH 44512
Phone (330) 406-9973
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
6426 Market St
Boardman, OH 44512-3434
Mailing address
302 Retort Dr
Edinburg, PA 16116-2020
Phone (330) 687-4750
Other providers in Boardman, OH
- Nicholas A Atanasoff
- Jowad Neal Atway
- Aura Genetics of Ohio, LLC
- Jessica Harriman Austin
- Austintown Podiatry Associates Inc
- Marie Linda Awad-Alexander
- Backs and US, LLC
- Gilbert Russell Backus Jr.
- Yacoub Baghdy
- Lisa Baglieri
All providers in Boardman, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.