Avita Hope, Llc
LBN: Avita Hope, Llc
Avita Hope, Llc is an health care organization with primary practice located at 591 Summit Avenue Suite 101, Jersey City NJ 07306. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Avita Hope, Llc can be contacted via phone (201) 300-0160, or through Turdo, Lou via phone (201) 300-0160.
Contact Information
Primary practice address
591 Summit Avenue Suite 101
Jersey City NJ 07306
Phone: (201) 300-0160
Fax: (201) 300-0165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1265165930 |
|---|---|
| LBN Legal business name | Avita Hope, Llc |
| DBA Doing business as | |
| Authorized official | Turdo, Lou |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2022 |
| Last updated | Apr 14th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265165930 | NPPES |
| New Jersey | MEDICAID | 1024132 |
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