Organization Active NPI

Avalon Homecare, Inc

  • In Home Supportive Care Agency
  • Carlsbad, CA
National Provider Identifier
1366867087
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.