Organization Active NPI

Avon Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Flint, MI
National Provider Identifier
1124455175
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
AVON REHABILITATION LLC
Practice address
6240 Rashelle Dr Ste 103
Flint, MI 48507-3938
Phone
(810) 232-9800
Fax
(810) 232-7710
NPI assigned
Oct 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Ashok BhandariNPI 1942298393
Title
President
Phone
(810) 232-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

6240 Rashelle Dr Ste 103
Flint, MI 48507-3938

Mailing address

6240 Rashelle Dr Ste 103
Flint, MI 48507-3938
Phone (810) 232-9800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1124455175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 RASHELLE DR STE 103",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073938",
            "telephone_number": "810-232-9800",
            "fax_number": "810-232-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 RASHELLE DR STE 103",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073938",
            "telephone_number": "810-232-9800",
            "fax_number": "810-232-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-232-9800"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.