Healthcare Provider Details
I. General information
NPI: 1447170238
Provider Name (Legal Business Name): AVIYA CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 BATTLE CREEK WAY
LAUREL MD
20708-1124
US
IV. Provider business mailing address
106 BATTLE CREEK WAY
LAUREL MD
20708-1124
US
V. Phone/Fax
- Phone: 240-277-5762
- Fax:
- Phone: 240-277-5762
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENIVA
MATHIANG-MALUAL
Title or Position: CEO
Credential: MATHIANG-MALUAL
Phone: 240-277-5762