Avenue Homecare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2494 Issued in NC

Legal business name

AVENUE HOMECARE, INC.

Practice address

1511 E 7TH St
Charlotte, NC 28204-2409

Phone

(704) 971-2800

Fax

(704) 527-6616

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Serena Lynn Brock

Title

Administrator

Phone

(704) 971-2817

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992705685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042409",
            "telephone_number": "704-971-2800",
            "fax_number": "704-527-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042409",
            "telephone_number": "704-971-2800",
            "fax_number": "704-527-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-971-2817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601048",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100519",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409669",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avant Wellness PLLC
• Avante at Charlotte, Inc.
• Avaya Health Services, LLC
• Gabriella Avellone, MS, OTR/L
• Avenue Health Care
• Avenues ABA NC LLC
• Avenues to Success, Inc.
• Elizabeth Hill Averick, DC
• Benjamin John Averkamp, MD
• Michael William Aversano, MD

• All providers in Charlotte, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.