AVANT SUPPORTED LIVING LLC – NPI #1548725724
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.

AVANT SUPPORTED LIVING LLC is a community based residential treatment facility located in MEXICO, MO. NPPES has assigned the NPI number 1548725724 to AVANT SUPPORTED LIVING LLC on February 01, 2019. 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. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 AVANT SUPPORTED LIVING LLC below.

NPI Profile for
AVANT SUPPORTED LIVING LLC

NPI Number
1548725724
Enumeration Date

(more than 7 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
AVANT SUPPORTED LIVING LLC
Primary location
734 W MONROE ST
MEXICO, MO 65265-1970
Phone: (573) 975-3602 Fax:
Mailing address
PO BOX 63
MEXICO, MO 65265-0063
Phone: (573) 975-3602 Fax:
Organization Subpart
No
Authorized Official
BRITTANI GARDNER EVANS
MANAGER
Phone: (573) 975-3602
Updated
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.