Provider Demographics
NPI:1962106930
Name:AVAD CARE LLC
Entity type:Organization
Organization Name:AVAD CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-687-4750
Mailing Address - Street 1:302 RETORT DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16116-2020
Mailing Address - Country:US
Mailing Address - Phone:330-687-4750
Mailing Address - Fax:
Practice Address - Street 1:6426 MARKET ST
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-3434
Practice Address - Country:US
Practice Address - Phone:330-687-4750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty