CCN: 671692 NPI: 1821387473 Organization

AVATAR HOME HEALTH CARE AGENCY LLC

25325 BOROUGH PARK DRIVE , SUITE #100
THE WOODLANDS, TX 77380

Contact Information

Phone 2814658220
Fax 2812987502
Enumeration Date 2011-04-05
Last Updated 2014-01-15

Taxonomies

Code: 251G00000X (Primary) License State: TX License: 010674

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

censusDivision 7

cbsaActualGeographicLocation 26420

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 26420

providerType 35

specialPaymentIndicator

carrierCode 04412

localityCode 99