AEVUM INTEGRATED HEALTH VA LLC – NPI #1790644516
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

AEVUM INTEGRATED HEALTH VA LLC is a provider located in FARMVILLE, VA. NPPES has assigned the NPI number 1790644516 to AEVUM INTEGRATED HEALTH VA LLC on January 19, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AEVUM INTEGRATED HEALTH VA LLC below.

NPI Profile for
AEVUM INTEGRATED HEALTH VA LLC

NPI Number
1790644516
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AEVUM INTEGRATED HEALTH VA LLC
Primary location
202 AGEE ST
FARMVILLE, VA 23901-2617
Phone: (434) 603-4835 Fax:
Mailing address
175 ROUTE 70 STE 303
TOMS RIVER, NJ 08755-0936
Phone: (434) 603-4835 Fax:
Organization Subpart
No
Authorized Official
LEVI LIPOVENKO
CEO
Phone: (434) 603-4835
Updated
Certification Date
Jan 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health
363LF0000X
- Nurse Practitioner / Family
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.