Healthcare Provider Details

I. General information

NPI: 1437913985
Provider Name (Legal Business Name): KIRA & AVA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 L ST NW STE 300
WASHINGTON DC
20037-1276
US

IV. Provider business mailing address

2101 L ST NW STE 300
WASHINGTON DC
20037-1276
US

V. Phone/Fax

Practice location:
  • Phone: 202-609-0635
  • Fax:
Mailing address:
  • Phone: 202-609-0635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SHEIK PEARSON
Title or Position: OWNER
Credential:
Phone: 323-252-3173