Avanna Health

Key facts

NPI

1215344759

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

AVANNA HEALTH

Practice address

1405 Lilac Dr N
Golden Valley, MN 55422-4535

Phone

(763) 516-1222

NPI assigned

Jul 16, 2014

Organization subpart

No

Authorized official

Name

Ms. Nelly Mogeni

Title

Ceo

Phone

(763) 516-1222

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allayans Health LLC Home Health Agency · Brooklyn Park, MN · NPI 1548565658
  NPD tax ID

National Provider Directory

Tax ID family

Allayans Health LLC (2 organizations share this tax ID)

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2014.

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1215344759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "763-516-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "763-516-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANNA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "MOGENI",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-516-1222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

• Steven Atkinson, PA-C, MS
• Atlas Behavioral Service LLC
• Atlas Wellness L. L. C.
• Danielle Marie Audette, MA, LPCC, LADC
• Alissa Jane Aune, M.A., LMFT
• Avia Health LLC
• Avid Interpreting Agency
• Steven Baardson, M.A. L.P.
• Kendra Jean Babcock, PHARM.D.
• Kristin Marie Baden, MA

All providers in Golden Valley, MN · Home Health Agency in Minnesota