Organization Active NPI

Avalon Homes

  • Adult Care Home Facility
  • Apex, NC
National Provider Identifier
1174788640
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
092713 Issued in NC
Legal business name
AVALON HOMES
Practice address
202 Lindell Dr
Apex, NC 27539-5390
Phone
(919) 387-7429
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Ijeoma Nwankwo
Title
Administrator
Phone
(336) 253-2219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 092713 NC Primary

Addresses

Primary practice location

202 Lindell Dr
Apex, NC 27539-5390

Mailing address

4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302
Phone (336) 253-2219

National Provider Directory

National Provider Directory
Tax ID family
Avalon 35 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1174788640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 LOUISBURG RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164302",
            "telephone_number": "336-253-2219",
            "fax_number": "919-872-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LINDELL DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275395390",
            "telephone_number": "919-387-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-253-2219"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "092713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.