Healthcare Provider Details

I. General information

NPI: 1417827817
Provider Name (Legal Business Name): AVERLIFE HOME HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10724 FORGET ME NOT WAY
GLEN ALLEN VA
23060-0006
US

IV. Provider business mailing address

10724 FORGET ME NOT WAY
GLEN ALLEN VA
23060-0006
US

V. Phone/Fax

Practice location:
  • Phone: 412-224-8997
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: BIKRAM DHIMAL
Title or Position: ADMINISTRATOR
Credential:
Phone: 412-224-8997