Avenue To Independence Llc

LBN: Avenue To Independence Llc
Avenue To Independence Llc is an health care organization with primary practice located at 1021 Roslyn Ave Sw , Canton OH 44710-1907. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Avenue To Independence Llc can be contacted via phone (330) 454-8719, or through Miday, David Martin via phone (330) 933-2316.

Contact Information

Primary practice address
1021 Roslyn Ave Sw Canton OH 44710-1907
Phone: (330) 454-8719
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miday, David Martin
Phone: (330) 933-2316

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 7603856 Ohio
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 7603856 Ohio

Profile Details

NPI number 1033303987
LBN Legal business name Avenue To Independence Llc
DBA Doing business as
Authorized official Miday, David Martin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Sep 4th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033303987 NPPES
Ohio MEDICAID 2724770

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