Active NPI
Avalon Homecare, Inc
- In Home Supportive Care Agency
- Carlsbad, CA
National Provider Identifier
1366867087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- AVALON HOMECARE, INC
- Practice address
- 390 Oak Ave
Suite B
Carlsbad, CA 92008-2966 - Phone
- (760) 730-3955
- Fax
- (760) 730-3977
- NPI assigned
- Mar 4, 2014
- Last updated
- Mar 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Holly Marsolais, CHCM
- Title
- Operations/Care Coordinator
- Phone
- (760) 730-3955
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
390 Oak Ave
Suite B
Carlsbad, CA 92008-2966
Mailing address
390 Oak Ave
Suite B
Carlsbad, CA 92008-2966
Phone (760) 730-3955
Other names 1
- Avalon Homecare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393891200000",
"number": "1366867087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 OAK AVE",
"address_2": "SUITE B",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082966",
"telephone_number": "760-730-3955",
"fax_number": "760-730-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 OAK AVE",
"address_2": "SUITE B",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082966",
"telephone_number": "760-730-3955",
"fax_number": "760-730-3977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON HOMECARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-04",
"last_updated": "2014-03-04",
"status": "A",
"authorized_official_last_name": "MARSOLAIS",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "HOLLY",
"authorized_official_title_or_position": "OPERATIONS/CARE COORDINATOR",
"authorized_official_telephone_number": "760-730-3955",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CHCM"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avalon Homecare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.