Provider Demographics
NPI:1265224893
Name:AVERY CARES HEALTH SERVICES LLC
Entity type:Organization
Organization Name:AVERY CARES HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADEDOLAPO
Authorized Official - Middle Name:MAYOWA
Authorized Official - Last Name:ADEGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-425-7448
Mailing Address - Street 1:199 AUBURN VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30011-5003
Mailing Address - Country:US
Mailing Address - Phone:470-997-6119
Mailing Address - Fax:
Practice Address - Street 1:199 AUBURN VALLEY WAY
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:GA
Practice Address - Zip Code:30011-5003
Practice Address - Country:US
Practice Address - Phone:470-997-6119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health