Avalon SH Management

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12618 Issued in FL

Legal business name

AVALON SH MANAGEMENT

Practice address

13798 Cygnus Dr
Orlando, FL 32828-9375

Phone

(407) 270-7500

Fax

(407) 270-6538

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Nina Corsi

Title

Executive Director

Phone

(407) 270-7500

Specialties & licenses 1

Addresses

Other names 1

• Encore at Avalon Park Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1134591241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13798 CYGNUS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289375",
            "telephone_number": "407-270-7500",
            "fax_number": "407-270-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13798 CYGNUS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289375",
            "telephone_number": "407-270-7500",
            "fax_number": "407-270-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON SH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "CORSI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-270-7500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Encore at Avalon Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avalon Park Eye Care, LLC
• Avalon Park Family Medicine
• Avalon Park Home Healthcare, LLC
• Avalon Park Pharmacy Corporation
• Avalon Park Urgent Care
• Avalon'S Assisted Living
• Avalon'S Assisted Living II
• Avalondental Group
• Sabrina Avalos
• Avante at Orlando, Inc.

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.