MEDICARE: AVID HEALTHCARE, 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881993301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVID HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	231 SPRINGSIDE DRIVE
Second Line	:	STE 209
City	:	AKRON
State	:	OH
Zip	:	44333-4516
Country	:	US
Telephone Number	:	330-818-2979
Fax Number	:	234-525-5825

Provider Business Practice Location Address
First Line	:	1557 VERNON ODOM BLVD STE 104
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-4061
Country	:	US
Telephone Number	:	330-818-2979
Fax Number	:	234-525-5825

Authorized Official
Title or Position	:	CEO
Name	:	L MICHAEL PARKER
Credential	:
Telephone Number	:	330-818-2979

Provider Enumeration Date	:	03/23/2011
Last Update Date	:	08/30/2024

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