Active NPI
Avalon Care, LLC
- Community/Behavioral Health Agency
- Livonia, MI
National Provider Identifier
1457674046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AVALON CARE, LLC
- Practice address
- 33014 Five Mile Rd
Suite 102
Livonia, MI 48154-3075 - Phone
- (734) 578-3193
- Fax
- (866) 921-7178
- NPI assigned
- Mar 10, 2010
- 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
- Mr. Edgar Buison
- Title
- Member
- Phone
- (734) 578-3193
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
33014 Five Mile Rd
Suite 102
Livonia, MI 48154-3075
Mailing address
33014 Five Mile Rd
Suite 102
Livonia, MI 48154-3075
Phone (734) 578-3193
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.
-
- Home Health Agency
- Southfield, MI
- NPI 1407139694
Locations
33014 5 Mile Rd
Ste 102
Livonia, MI 48154
Phone (734) 578-3193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268179200000",
"number": "1457674046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33014 FIVE MILE RD",
"address_2": "SUITE 102",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543075",
"telephone_number": "734-578-3193",
"fax_number": "866-921-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33014 FIVE MILE RD",
"address_2": "SUITE 102",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543075",
"telephone_number": "734-578-3193",
"fax_number": "866-921-7178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A",
"authorized_official_last_name": "BUISON",
"authorized_official_first_name": "EDGAR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "734-578-3193",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.