NPIMap

Organization Active NPI

Avalon Family Resort Assisted Living

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1336635796
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13176 Issued in FL
Legal business name
AVALON FAMILY RESORT ASSISTED LIVING
Practice address
160 SW Saratoga Ave
Port St Lucie, FL 34953-5977
Phone
(561) 929-8096
NPI assigned
Jul 9, 2018
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Ms. Erica Brown
Title
Owner/Administrator
Phone
(561) 929-8096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13176 FL Primary

Addresses

Primary practice location

160 SW Saratoga Ave
Port St Lucie, FL 34953-5977

Mailing address

160 SW Saratoga Ave
Port St Lucie, FL 34953-5977
Phone (561) 929-8096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1336635796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SW SARATOGA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535977",
            "telephone_number": "561-929-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW SARATOGA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535977",
            "telephone_number": "561-929-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON FAMILY RESORT ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-929-8096",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.