Active NPI
Avalon Hospice Pennsylvania, LLC
- Community Based Hospice Care Agency
- King of Prussia, PA
National Provider Identifier
1013454487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AVALON HOSPICE PENNSYLVANIA, LLC
- Practice address
- 901 E 8TH Ave
Suite 1
King of Prussia, PA 19406-1354 - Phone
- (484) 808-2800
- Fax
- (844) 302-4113
- NPI assigned
- Jan 24, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jessica Kleberg
- Title
- VP Legal Affairs
- Phone
- (704) 664-2876
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
National Provider Directory
National Provider DirectoryLocations
901 E 8th Ave
Ste 1
King of Prussia, PA 19406
Phone (484) 808-2800
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
901 E 8TH Ave
Suite 1
King of Prussia, PA 19406-1354
Mailing address
655 Brawley School Rd
Suite 200
Mooresville, NC 28117-9125
Phone (704) 664-2876
Other names 1
NPPES NPI Registry- Avalon Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2017.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1013454487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 BRAWLEY SCHOOL RD",
"address_2": "SUITE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179125",
"telephone_number": "704-664-2876",
"fax_number": "704-664-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 8TH AVE",
"address_2": "SUITE 1",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061354",
"telephone_number": "484-808-2800",
"fax_number": "844-302-4113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON HOSPICE PENNSYLVANIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-24",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "KLEBERG",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "VP LEGAL AFFAIRS",
"authorized_official_telephone_number": "704-664-2876"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avalon Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.