Healthcare Provider Details

I. General information

NPI: 1457926156
Provider Name (Legal Business Name): AVAIL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10136 HULL STREET RD STE D
MIDLOTHIAN VA
23112-3356
US

IV. Provider business mailing address

PO BOX 5685
MIDLOTHIAN VA
23112-0029
US

V. Phone/Fax

Practice location:
  • Phone: 804-307-0041
  • Fax:
Mailing address:
  • Phone: 804-307-0041
  • Fax: 888-532-6224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT SHELTON JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 804-307-0041