Organization Active NPI

Avalon Hospice Pennsylvania, LLC

  • Community Based Hospice Care Agency
  • King of Prussia, PA
National Provider Identifier
1013454487
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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 Directory

Locations

901 E 8th Ave
Ste 1
King of Prussia, PA 19406
Phone (484) 808-2800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.