AVA SENIORS ACADEMY LLC (NPI# 1720627599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720627599 |
Entity Type | Organization |
Organization Name | AVA SENIORS ACADEMY LLC |
Practice Address |
2425 E. Alexander Street Greenville MS 38703 |
Mailing Address |
106 Luckett St Greenwood MS 38930-3414 |
Practice Telephone | 6622997236 |
Mailing Telephone | 6622997236 |
Mailing Fax Number | 6624557234 |
Enumeration Date | 2019-12-27 |
Last Update Date | 2019-12-27 |
Authorized Official Name | MS. PEGGY CLAYBORNE (DIRECTOR) |
Authorized Official Telephone | 6622997236 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
Street Address |
2425 E. ALEXANDER STREET |
City | GREENVILLE |
State | MS |
Zip Code | 38703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
1194808675 | W & R Inc | Durable Medical Equipment & Medical Supplies | 1221 East Union Street, Greenville, MS 38703 | 2006-10-20 |
Find all providers in zip 38703 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609490101 | Circle of Life Adult Daycare | Clinic/Center | 159 Commons Way, Greenville, SC 29611-3850 | 2020-06-01 |
1275179095 | Reflections of Faith LLC | Clinic/Center | 805 Park St, Greenville, TX 75401-5431 | 2019-11-27 |
1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
1265955959 | Senior Empowerment Center, LLC | Clinic/Center | 2524 E Alexander St Ste B, Greenville, MS 38703-3330 | 2017-07-25 |
1750826327 | Hinds Street Baptist Church | Clinic/Center | 448 N Hinds St, Greenville, MS 38701-2928 | 2017-01-05 |
1023492063 | Our House of Mayersville Adult Day Services | Clinic/Center | 564 Cypress Ln Apt 512, Greenville, MS 38701-7470 | 2015-07-18 |
1003294760 | Martha Montgomery | Clinic/Center | 112 W Faris Rd, Greenville, SC 29605-3061 | 2015-05-14 |
1114324340 | Helping Hands Adult Day Center, LLC | Clinic/Center | 421 Highway 1 S, Greenville, MS 38701-4902 | 2014-12-03 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 38703 |
Please comment or provide details below to improve the information on AVA SENIORS ACADEMY LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.