AVILA RESIDENTIAL SERVICES, INC. – NPI #1174249254
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

AVILA RESIDENTIAL SERVICES, INC. is a community based residential treatment facility located in GALAX, VA. NPPES has assigned the NPI number 1174249254 to AVILA RESIDENTIAL SERVICES, INC. on October 19, 2022. 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 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was last updated on May 14, 2025. 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 AVILA RESIDENTIAL SERVICES, INC. below.

NPI Profile for
AVILA RESIDENTIAL SERVICES, INC.

NPI Number
1174249254
Enumeration Date

(more than 3 years 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
AVILA RESIDENTIAL SERVICES, INC.
Primary location
372 LIVE OAK LN
GALAX, VA 24333-5476
Phone: (276) 238-7100 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICK AVILA
EXECUTIVE DIRECTOR/ OWNER
Phone: (276) 238-7100
Updated
Certification Date
May 14, 2025

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.

Identifiers

Identifiers for AVILA RESIDENTIAL SERVICES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidVA8568-14-035
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.

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.