Avon Family Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AVON FAMILY HEALTH, LLC

Practice address

30 W Avon Rd
Suite D
Avon, CT 06001-3678

Phone

(860) 675-6595

Fax

(860) 673-6721

NPI assigned

Mar 4, 2016

Reactivated

Jul 20, 2017

Last updated

Jul 20, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

AVON PROFESSIONAL GROUPAs reported in NPPES

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

Authorized official

Name

Mary Elizabeth Leahy, APRN

Title

Member

Phone

(860) 675-6595

Specialties & licenses 1

Addresses

Part of

Arnold M Koff MD Dda Avon Health

Locations

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1497115380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W AVON RD",
            "address_2": "SUITE D",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013678",
            "telephone_number": "860-675-6595",
            "fax_number": "860-673-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W AVON RD",
            "address_2": "SUITE D",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013678",
            "telephone_number": "860-675-6595",
            "fax_number": "860-673-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON FAMILY HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVON PROFESSIONAL GROUP",
        "enumeration_date": "2016-03-04",
        "last_updated": "2017-07-20",
        "deactivation_date": "2017-04-19",
        "reactivation_date": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-675-6595",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avon Dental Group, P.C.
• Avon Eye Associates LLC (Avon Vision Associates)
• Avon Eye Care, LLC
• Avon Family and Cosmetic Dentistry LLC
• Avon Family Dentistry
• Avon Foot Care PC
• Avon Medical Professionals, LLC
• Avon Oral and Maxillofacial Surgery, LLP
• Avon Pediatrics, LLC
• Avon Public Schools

• Primary Care Clinic/Center in Avon, CT
• Providers in Avon, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.