Avalon Home Care
Organization Active NPI Health Maintenance Organization · Anoka, MN
NPI 1629444286 · NPPES record last updated Aug 18, 2015
Key facts
- NPI
- 1629444286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- A003607200 (MN)
- Legal business name
- AVALON HOME CARE
- Practice address
- 500 W Main St Ste 11
Anoka, MN 55303-2000 - Phone
- (763) 753-4314
- NPI assigned
- Aug 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Ms. Heidi M Schroeder, RN
- Title
- QP
- Phone
- (763) 753-4314
Corporate family (same tax ID) 2
Practitioners 1
-
Victoria Luedtke, RN
National Provider Directory
- Tax ID family
- Avalon Home Care
Locations
500 W Main St
Ste 11
Anoka, MN 55303
Phone (763) 753-4314
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | A003607200 | MN | Yes |
Addresses
Primary practice location
500 W Main St Ste 11
Anoka, MN 55303-2000
Mailing address
500 W Main St Ste 11
Anoka, MN 55303-2000
Phone (763) 753-4314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275841181 | Medicaid | MN |
Other providers in Anoka, MN
- Ashleymarie Patricia Ashton
- Brittany Askelin
- Kaitlin Aurand
- Erin Ausman
- Autumn Woods III, LLC
- Emily Elizabeth Aydt
- Baikah Homes LLC
- Catherine Sue Bakos-Hulegaard
- Joann Baldwin
- Josephine Michelle Ball
All providers in Anoka, MN · Health Maintenance Organization in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.