MEDICARE: AVYCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1780291039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVYCARE LLC

Provider Business Mailing Address
First Line	:	732 S 6TH ST STE N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6928
Country	:	US
Telephone Number	:	770-940-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 S 6TH ST STE N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6928
Country	:	US
Telephone Number	:	770-940-0700
Fax Number	:

Authorized Official
Title or Position	:	CEO / OWNER
Name	:	LAURA BIDNAN
Credential	:
Telephone Number	:	770-940-0700

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	01/22/2026

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Directions to “AVYCARE LLC ” Practice Location

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