Avon Nursing Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0006510 Issued in IL

Legal business name

AVON NURSING HOME, INC.

Practice address

1790 23Rd Ave
Avon, IL 61415-9105

Phone

(309) 465-3102

NPI assigned

Jun 14, 2007

Last updated

Aug 22, 2020By 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

Phil Kramer

Title

Administrator

Phone

(309) 465-3102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093919771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 23RD AVE",
            "city": "AVON",
            "state": "IL",
            "postal_code": "614159105",
            "telephone_number": "309-465-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 23RD AVE",
            "city": "AVON",
            "state": "IL",
            "postal_code": "614159105",
            "telephone_number": "309-465-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-465-3102"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0006510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avon Cud 176
• Timmie Lee Butler, D.D.S.
• Suzanne V Chatterton, SLP
• Joshua Connor, LCSW
• Graham Hospital Association (Graham Medical Group - Saunders Clinic)
• Cynthia J. Lock, MT-BC

• Nursing Facility/Intermediate Care Facility in Avon, IL
• Providers in Avon, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.