MEDICARE: AVENIR VENTURES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386705697
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVENIR VENTURES LLC

Provider Business Mailing Address
First Line	:	3854 AMERICAN WAY
Second Line	:	SUITE A
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4013
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	290 MERRIMACK ST STE 242
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1783
Country	:	US
Telephone Number	:	877-202-2869
Fax Number	:	866-854-1480

Authorized Official
Title or Position	:	CEO
Name	:	JOSHUA PROFFITT
Credential	:
Telephone Number	:	617-639-4092

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	05/28/2026

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Directions to “AVENIR VENTURES LLC ” Practice Location

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