Provider Demographics
NPI:1427887389
Name:AVEON SERVICES LLC
Entity type:Organization
Organization Name:AVEON SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATOE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOBA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:202-644-2245
Mailing Address - Street 1:5850 WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1941
Mailing Address - Country:US
Mailing Address - Phone:202-644-2245
Mailing Address - Fax:
Practice Address - Street 1:5850 WATERLOO RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1941
Practice Address - Country:US
Practice Address - Phone:202-644-2245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health