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NPI Code Detail

MEDICARE: AVYCARE LLC

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
1251G00000XCommunity 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 : 03/25/2026

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Directions to “AVYCARE LLC ” Practice Location

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