Active NPI
Avalon Care LLC
- Home Health Agency
- Southfield, MI
National Provider Identifier
1407139694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVALON CARE LLC
- Practice address
- 29444 Northwestern Hwy
Suite 210
Southfield, MI 48034-1029 - Phone
- (248) 230-2268
- NPI assigned
- Sep 23, 2011
- Last updated
- Oct 30, 2012
- 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
- Edgar Buison
- Title
- Member
- Phone
- (248) 230-2268
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Home Health Agency | 251E00000X | NU | Primary | |
| Nursing Care Agency | 251J00000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
29444 Northwestern Hwy
Suite 210
Southfield, MI 48034-1029
Mailing address
29444 Northwestern Hwy
Suite 210
Southfield, MI 48034-1029
Phone (248) 230-2268
National Provider Directory
National Provider Directory- Tax ID family
- Avalon Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Livonia, MI
- NPI 1457674046
Locations
29444 Northwestern Hwy
Ste 210
Southfield, MI 48034
Phone (248) 230-2268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351555200000",
"number": "1407139694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29444 NORTHWESTERN HWY",
"address_2": "SUITE 210",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341029",
"telephone_number": "248-230-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29444 NORTHWESTERN HWY",
"address_2": "SUITE 210",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341029",
"telephone_number": "248-230-2268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2012-10-30",
"status": "A",
"authorized_official_last_name": "BUISON",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "248-230-2268"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.