NPIMap

Organization Active NPI

Avalon Hospice Missouri, LLC

Doing business as Avalon Hospice

  • Community Based Hospice Care Agency
  • Saint Louis, MO
National Provider Identifier
1174060529
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AVALON HOSPICE MISSOURI, LLC
Doing business as
Avalon Hospice
Practice address
5615 Pershing Ave
Suite 20
Saint Louis, MO 63112-1757
Phone
(314) 328-6700
Fax
(314) 546-4400
NPI assigned
Jan 24, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Jessica Kleberg
Title
VP Legal Affairs
Phone
(704) 664-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5615 Pershing Ave
Suite 20
Saint Louis, MO 63112-1757

Mailing address

655 Brawley School Rd
Suite 200
Mooresville, NC 28117-9125
Phone (704) 664-2876

Other names 1

  • Avalon Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5615 Pershing Ave
Ste 20
Saint Louis, MO 63112
Phone (314) 328-6700

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1174060529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD",
            "address_2": "SUITE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179125",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 PERSHING AVE",
            "address_2": "SUITE 20",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121757",
            "telephone_number": "314-328-6700",
            "fax_number": "314-546-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HOSPICE MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "KLEBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP LEGAL AFFAIRS",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.