Organization Active NPI

Avinity Management Company

  • Assisted Living Facility
  • Richfield, MN
National Provider Identifier
1043780448
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AVINITY MANAGEMENT COMPANY
Practice address
245 W 76TH St
Richfield, MN 55423-2225
Phone
(612) 861-2799
NPI assigned
Nov 28, 2018
Organization subpart
Yes
Parent organization
TWIN CITY CHRISTIAN HOMES SERVICES COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Denyse Lenae Ethridge
Title
Ceo
Phone
(612) 861-2799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

245 W 76TH St
Richfield, MN 55423-2225

Mailing address

7645 Lyndale Ave S Ste 110
Richfield, MN 55423-6008
Phone (612) 243-4585

National Provider Directory

National Provider Directory
Part of
Twin City Christian Homes Services Company

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1043780448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 LYNDALE AVE S STE 110",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554236008",
            "telephone_number": "612-243-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 76TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232225",
            "telephone_number": "612-861-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVINITY MANAGEMENT COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWIN CITY CHRISTIAN HOMES SERVICES COMPANY",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "DENYSE",
        "authorized_official_middle_name": "LENAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-861-2799"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.