Healthcare Provider Details

I. General information

NPI: 1245900216
Provider Name (Legal Business Name): AVANTI CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 FOOTHILL BLVD STE 2
LA CRESCENTA CA
91214-3522
US

IV. Provider business mailing address

2529 FOOTHILL BLVD STE 2
LA CRESCENTA CA
91214-3522
US

V. Phone/Fax

Practice location:
  • Phone: 818-358-5230
  • Fax: 818-279-0693
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ARMINE GALOYAN
Title or Position: CEO
Credential:
Phone: 818-358-5230