Avalon Care Center - Chowchilla, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AVALON CARE CENTER - CHOWCHILLA, LLC

Doing business as

Chowchilla Convalescent Hospital

Practice address

1010 Ventura Ave
Chowchilla, CA 93610-2368

Phone

(559) 665-4826

Fax

(559) 665-4074

NPI assigned

Sep 6, 2005

Last updated

Jul 21, 2022By 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

Faye Lincoln

Title

VP, Policy/Government Relations

Phone

(801) 325-0153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chowchilla Convalescent Hospital Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154315182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "address_2": "SUITE 200",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0153",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VENTURA AVE",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102368",
            "telephone_number": "559-665-4826",
            "fax_number": "559-665-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER - CHOWCHILLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "VP, POLICY/GOVERNMENT RELATIONS",
        "authorized_official_telephone_number": "801-325-0153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05047L",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chowchilla Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alpha Care Pharmacy 002 PC
• Amritpal Pannu, MD (Chowchilla Family Clinic)
• Gwendolyn Angert, PSY.D
• Cielo Cristal Araiza
• Natalie Blanca Arballo, LCSW
• Savanna Bailey
• Justine Syera Balbas, PSYD
• Melanie Bandari
• Nicole Barksdale, LCSW
• Jennifer Marie Berg, PSYD

• Skilled Nursing Facility in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.