Provider Demographics
NPI:1386923365
Name:AVESTA HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:AVESTA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-927-7395
Mailing Address - Street 1:2840 E GRAND RIVER AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6731
Mailing Address - Country:US
Mailing Address - Phone:517-927-7395
Mailing Address - Fax:517-664-8616
Practice Address - Street 1:2840 E GRAND RIVER AVE STE 3
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6731
Practice Address - Country:US
Practice Address - Phone:517-927-7395
Practice Address - Fax:517-664-8616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health