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NPI Code Detail

MEDICARE: AVENIR VENTURES, L.L.C.

MEDICARE: AVENIR VENTURES, L.L.C.
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1518759364
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVENIR VENTURES, L.L.C.
Provider Business Mailing Address
First Line : 305 QUARTERMASTER CT
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-3670
Country : US
Telephone Number : 812-284-4630
Fax Number : 877-830-0644
Provider Business Practice Location Address
First Line : 305 QUARTERMASTER CT
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-3670
Country : US
Telephone Number : 812-284-4630
Fax Number : 877-830-0644
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : JOSHUA L PROFFITT
Credential :
Telephone Number : 617-639-4092
Provider Enumeration Date : 05/19/2025
Last Update Date : 03/30/2026

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