Healthcare Provider Details

I. General information

NPI: 1316798168
Provider Name (Legal Business Name): AVIS RIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2024
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3776 MONTEVISTA RD
CLEVELAND HEIGHTS OH
44121-1615
US

IV. Provider business mailing address

3776 MONTEVISTA RD
CLEVELAND HEIGHTS OH
44121-1615
US

V. Phone/Fax

Practice location:
  • Phone: 216-548-1974
  • Fax:
Mailing address:
  • Phone: 216-282-5761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: