Healthcare Provider Details

I. General information

NPI: 1679457824
Provider Name (Legal Business Name): AVINA HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17971 BISCAYNE BLVD STE 112
AVENTURA FL
33160-2531
US

IV. Provider business mailing address

17971 BISCAYNE BLVD STE 112
AVENTURA FL
33160-2531
US

V. Phone/Fax

Practice location:
  • Phone: 305-724-0961
  • Fax: 305-724-0941
Mailing address:
  • Phone: 305-724-0961
  • Fax: 305-724-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LIDA KARAELIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 323-770-2924