Active NPI
Avalon Adult Day Care Center
- Non-emergency Medical Transport (VAN)
- Conroe, TX
National Provider Identifier
1639924970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- AVALON ADULT DAY CARE CENTER
- Practice address
- 17274 Wild Watermelon Way
Conroe, TX 77302-1408 - Phone
- (561) 396-7725
- NPI assigned
- Apr 19, 2024
- 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
- Angela Gail Young
- Title
- Owner
- Phone
- (561) 396-7725
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
17274 Wild Watermelon Way
Conroe, TX 77302-1408
Mailing address
4115 Louetta Rd Apt 2106
Spring, TX 77388-4877
Phone (561) 396-7725
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1639924970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 LOUETTA RD APT 2106",
"city": "SPRING",
"state": "TX",
"postal_code": "773884877",
"telephone_number": "561-396-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17274 WILD WATERMELON WAY",
"city": "CONROE",
"state": "TX",
"postal_code": "773021408",
"telephone_number": "561-396-7725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON ADULT DAY CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-19",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-396-7725"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.