Provider Demographics
NPI:1194576041
Name:A.V.A. GROUP, LLC
Entity type:Organization
Organization Name:A.V.A. GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWZE
Authorized Official - Suffix:
Authorized Official - Credentials:ALM
Authorized Official - Phone:443-939-5555
Mailing Address - Street 1:1541 25TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5371
Mailing Address - Country:US
Mailing Address - Phone:443-939-5555
Mailing Address - Fax:
Practice Address - Street 1:6000 ACCOKEEK RD
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-6140
Practice Address - Country:US
Practice Address - Phone:443-939-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health