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AVILA RESIDENTIAL SERVICES, INC.
NPI 1174249254
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Galax, VA

Active since October 19, 2022
372 LIVE OAK LN, GALAX, VA 24333(276) 238-7100 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Oct 16, 2023, Oct 19, 2022 (3 updates tracked since 2022).

About Avila Residential Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVILA RESIDENTIAL SERVICES, INC. (NPI 1174249254) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Galax, Virginia and active in the NPI registry since October 2022. The organization lists Nick R Avila, Executive Director/ Owner, as its authorized official.

NPPES Registry Identity

NPI1174249254
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameAVILA RESIDENTIAL SERVICES, INC.
Location Address372 LIVE OAK LNGalax, VA 24333-5476
Mailing Address372 Live Oak LnGalax, VA 24333-5476 · (276) 238-7100
Phone(276) 238-7100
Organization SubpartNo
Authorized OfficialNick R AvilaExecutive Director/ Owner · (276) 238-7100
Enumeration DateOctober 19, 2022
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1174249254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
372 LIVE OAK LN, Galax, VA 24333
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Other Names 1

Doing Business AsAvila Residential Services, Inc.

Other Identifiers 1

Medicaid8568-14-035VA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NICK R AVILA III
Behavior Analyst
372 LIVE OAK LN
GALAX, VA 24333
Galax City (276) 238-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avila Residential Services, Inc.'s NPI number?

The NPI number for Avila Residential Services, Inc. is 1174249254. It was assigned to this organization in the NPPES registry on October 19, 2022.

Where is Avila Residential Services, Inc. located?

Avila Residential Services, Inc. is located at 372 Live Oak Ln, Galax, VA 24333. The listed phone number is (276) 238-7100.

What is Avila Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Avila Residential Services, Inc. was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.