Provider Demographics
NPI:1427147479
Name:AVEIN GROUP,INC
Entity type:Organization
Organization Name:AVEIN GROUP,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NIEVA
Authorized Official - Middle Name:LEONARDO
Authorized Official - Last Name:CUA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-994-9993
Mailing Address - Street 1:5405 KEATING CT
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4962
Mailing Address - Country:US
Mailing Address - Phone:972-994-9993
Mailing Address - Fax:972-994-0253
Practice Address - Street 1:5405 KEATING CT
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4962
Practice Address - Country:US
Practice Address - Phone:972-994-9993
Practice Address - Fax:972-994-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008219251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
008219OtherSTATE ID NUMBER
008219OtherSTATE ID NUMBER