Healthcare Provider Details

I. General information

NPI: 1306712377
Provider Name (Legal Business Name): AVIISHAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 W HIGHWAY 105 UNIT B
MONUMENT CO
80132-9129
US

IV. Provider business mailing address

481 W HIGHWAY 105 UNIT B
MONUMENT CO
80132-9129
US

V. Phone/Fax

Practice location:
  • Phone: 719-920-1000
  • Fax: 719-851-1123
Mailing address:
  • Phone: 719-920-1000
  • Fax: 719-851-1123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SURESH P NAMBIAR
Title or Position: SECRETARY
Credential:
Phone: 719-985-3000