Provider Demographics
NPI:1376426593
Name:AVA HOME CARE & COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:AVA HOME CARE & COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN C
Authorized Official - Middle Name:
Authorized Official - Last Name:NKOUME EYENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-830-9272
Mailing Address - Street 1:11807 AMERADO BLVD APT 1117
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-3155
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11807 AMERADO BLVD APT 1117
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-3155
Practice Address - Country:US
Practice Address - Phone:402-830-9272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities