NPIMap

Organization Active NPI

Avalon Home Care, Inc.

  • Home Health Agency
  • Sartell, MN
National Provider Identifier
1356746416
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R-217455-2 Issued in MN
Legal business name
AVALON HOME CARE, INC.
Practice address
1535 7TH Ave S # 13
Sartell, MN 56377-4723
Phone
(763) 753-8658
NPI assigned
Oct 30, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Miss Kayla Ann Gray, RN
Title
QP
Phone
(320) 291-3552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R-217455-2 MN Primary

Addresses

Primary practice location

1535 7TH Ave S # 13
Sartell, MN 56377-4723

Mailing address

1535 7TH Ave S # 13
Sartell, MN 56377-4723
Phone (763) 753-8658

National Provider Directory

National Provider Directory
Tax ID family
Avalon Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1356746416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 7TH AVE S # 13",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774723",
            "telephone_number": "763-753-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 7TH AVE S # 13",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774723",
            "telephone_number": "763-753-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "QP",
        "authorized_official_telephone_number": "320-291-3552",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "R-217455-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.