Avalon Care Center - Chandler, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2642 Issued in AZ

Legal business name

AVALON CARE CENTER - CHANDLER, LLC

Doing business as

Chandler Health Care Center

Practice address

2121 W Elgin St
Chandler, AZ 85224-5608

Phone

(480) 899-6717

Fax

(480) 899-6364

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Faye Lincoln

Title

VP, Policy/Government Relations

Phone

(801) 325-0153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chandler Health Care Center Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1619961653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "address_2": "SUITE 200",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0153",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W ELGIN ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245608",
            "telephone_number": "480-899-6717",
            "fax_number": "480-899-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER - CHANDLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "VP, POLICY/GOVERNMENT RELATIONS",
        "authorized_official_telephone_number": "801-325-0153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.