Avalon Hospice Iowa, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AVALON HOSPICE IOWA, LLC

Doing business as

Gentiva I

Practice address

4601 Westown Pkwy Ste 105
West Des Moines, IA 50266-1071

Phone

(515) 218-9600

Fax

(515) 619-5604

NPI assigned

Jan 24, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Janet Combs

Title

VP of Licensure

Phone

(704) 664-2876

Specialties & licenses 1

Addresses

Other names 1

• Gentiva I Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Curo Health Services, LLC

  dba Heartland

  • Community Based Hospice Care Agency
  • Beltsville, MD
  • NPI 1184323693

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1043757495",
    "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": "4601 WESTOWN PKWY STE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661071",
            "telephone_number": "515-218-9600",
            "fax_number": "515-619-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HOSPICE IOWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-664-2876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ha Le Austin, P.T.
• Authentic Growth Therapy Collective PLLC
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• Authentic Self Behavioral Health LLC
• Anthony Avallone, MD
• Avenues LLC
• Beth Avery
• Awaken Mind Wellness
• Awaken to Change, P.C.
• Rhijeagn Mae Tipon Babatido, ARNP, FNP-C, FNP-BC

• Community Based Hospice Care Agency in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.