Avalonia Group Homes, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

RTF-0020 Issued in SC

Legal business name

AVALONIA GROUP HOMES, INC.

Doing business as

Hampton P.R.T.F.

Practice address

404 Hampton Ave
Pickens, SC 29671-2608

Phone

(864) 897-8050

Fax

(864) 878-7276

NPI assigned

Oct 9, 2008

Last updated

Oct 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marvin J. Short III, J.D.

Title

President

Phone

(864) 313-6967

Specialties & licenses 1

Addresses

Other names 1

• Hampton P.R.T.F. Doing business as

Tax ID family

Avalonia Group Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Avalonia Group Homes, Inc.

  • Family Medicine Physician
  • Pickens, SC
  • NPI 1558881524
  NPD tax ID

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1508017476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1214",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296711214",
            "telephone_number": "864-897-8050",
            "fax_number": "864-878-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HAMPTON AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712608",
            "telephone_number": "864-897-8050",
            "fax_number": "864-878-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALONIA GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-313-6967",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "SC",
            "license": "RTF-0020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton P.R.T.F.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anmed Health (AnMed Piedmont Surgical)
• Anmed Health (AnMed Cannon Cardiology)
• Anmed Health (AnMed Health Orthopaedics and Sports Medicine - Pickens Office)
• Elizabeth Marler Armstrong, DMD
• Tiffany Anne Atchison, LPN
• Avalonia Group Homes, Inc.
• Benjamin Thomas Avritt, D.C.
• Pamela R Avritt, D.C.
• Janet Tripp Ayers, RN
• Rebecca Bardos

• Psychiatric Residential Treatment Facility in Pickens, SC
• Providers in Pickens, SC by specialty
• Psychiatric Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.