Avalon Care Center - Scottsdale, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2641 Issued in AZ

Legal business name

AVALON CARE CENTER - SCOTTSDALE, LLC

Practice address

11150 N 92ND St
Scottsdale, AZ 85260-6150

Phone

(480) 860-1766

Fax

(480) 451-1539

NPI assigned

Sep 6, 2005

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

• Avalon Care Center - Shadow Mountain 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": "1434067200000",
    "number": "1336133370",
    "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": "11150 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606150",
            "telephone_number": "480-860-1766",
            "fax_number": "480-451-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER - SCOTTSDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2015-06-12",
        "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": "AZ",
            "license": "NCI-2641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Care Center - Shadow Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brock Preston Auten, DC
• Hannah Auten
• Devon J. Auth, P.A.
• Dawn Auzas
• Jason Q Avakian, PT
• Cecilia Avalos, CPNP
• Leslie Crawford Avant, MD
• Avd Healthcare LLC
• Jason Avelar, D.C.
• Avella of Grayhawk, Inc.

• Skilled Nursing Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.