Avonlea Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVONLEA OPCO LLC

Doing business as

AvonLea Assisted Living

Practice address

2429 Lawndale Dr
Tupelo, MS 38801-6493

Phone

(662) 840-6163

NPI assigned

Jan 4, 2023

Last updated

Jan 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 1

Addresses

Other names 1

• AvonLea Assisted Living Doing business as

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1063125185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-322-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 LAWNDALE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016493",
            "telephone_number": "662-840-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONLEA OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AvonLea Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindelyn Tustain Austin, DMD
• Autism Center of North Mississippi, Inc.
• John Brooks Averette, MD
• Jeffrey Michael Avery, C.R.N.A.
• Maurice Avery, BA
• Hussein Mohamed Awwad, MD
• Keeley Grace Awwad, FNP-C
• Hannah Aycox
• Adnan Arshad Aziz, M.D.
• Lauren McGee Babb, FNP-C

• Assisted Living Facility in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.