Provider Demographics
NPI:1427458314
Name:AIR VENTURE ASSETS INC
Entity type:Organization
Organization Name:AIR VENTURE ASSETS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:RENELL
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MED
Authorized Official - Phone:703-982-7646
Mailing Address - Street 1:7217 LOCKPORT PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1584
Mailing Address - Country:US
Mailing Address - Phone:703-982-7646
Mailing Address - Fax:703-982-7650
Practice Address - Street 1:7217 LOCKPORT PL
Practice Address - Street 2:SUITE 100
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-1584
Practice Address - Country:US
Practice Address - Phone:703-982-7646
Practice Address - Fax:703-982-7650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO151189253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care