Organization
AVATAR HOME HEALTH CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX NICOMEDES CANABAL (ALT. ADMINISTRATOR)
(281) 465-8220
Entity
Organization
Contact information
Practice address
25325 BOROUGH PARK DRIVE, SUITE #100, THE WOODLANDS, TX 77380
(281) 465-8220
(281) 298-7502
Mailing address
25325 BOROUGH PARK DRIVE, SUITE #100, THE WOODLANDS, TX 77380
(281) 465-8220
(281) 298-7502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010674
TX
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016077
—
TX
05
—
001016078
—
TX
05
—
1867061-01
—
TX
Enumeration date
05/11/2006
Last updated
10/12/2023
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