Avalon Adult Foster Care LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

AVALON ADULT FOSTER CARE LLC

Doing business as

Avalon Adult Foster Care LLC

Practice address

381 Houston Ave
Muskegon, MI 49441-1912

Phone

(321) 289-2141

NPI assigned

Feb 19, 2021

Organization subpart

No

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

Authorized official

Name

Renee Granger

Title

Owner

Phone

(321) 289-2141

Specialties & licenses 1

Addresses

Other names 1

• Avalon Adult Foster Care LLC Doing business as

Locations

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1295328300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 NORTHWEST DR UNIT 1773",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551113033",
            "telephone_number": "321-289-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 HOUSTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411912",
            "telephone_number": "321-289-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON ADULT FOSTER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-289-2141"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Adult Foster Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Gail Aubrey
• Heather Rae Audo, MA, LLPC, CTRS
• Gayle Austin, OTR
• Traci Lynn Austin
• Aval Inc
• Liliana Astrid Avalos
• Kaitlyn Averill, RN, AGCNS-BC
• Yatsary Ordaz Avila
• Richard Avuletey
• Kimberly Marie Ayala, RMA

• Foster Care Agency in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.