# AVENUE SUPPORTIVE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811313521
- **Authorized official:** GOLDIE LOZIER LOUIS (ADMINSTRATOR)
- **Authorized official phone:** (954) 915-7478

## Contact information

- **Practice address:** 6635 W COMMERCIAL BLVD STE 108, TAMARAC, FL 33319-2141
- **Practice address phone:** (954) 915-7478
- **Practice address fax:** (954) 337-2978
- **Mailing address:** PO BOX 26222, TAMARAC, FL 33320-6222
- **Mailing address phone:** (954) 915-7478
- **Mailing address fax:** (954) 337-2978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2014
- **Last updated:** 01/31/2020