Active NPI
Avalon Alliance Homecare, LLC
- Home Health Agency
- Indianapolis, IN
National Provider Identifier
1649043464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVALON ALLIANCE HOMECARE, LLC
- Practice address
- 6515 E 82ND St Ste 101
Indianapolis, IN 46250-1544 - Phone
- (317) 288-9775
- Fax
- (317) 288-9758
- NPI assigned
- Nov 2, 2023
- 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
- Ms. Terri Lynn King
- Title
- Manager/Owner
- Phone
- (317) 288-9775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6515 E 82ND St Ste 101
Indianapolis, IN 46250-1544
Mailing address
6515 E 82ND St Ste 101
Indianapolis, IN 46250-1544
Phone (317) 288-9775
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2258416 | Avalon Alliance Homecare, LLC | Certificate of waiver | Apr 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
6515 E 82nd St
Ste 101
Indianapolis, IN 46250
Phone (317) 288-9775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1649043464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6515 E 82ND ST STE 101",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501544",
"telephone_number": "317-288-9775",
"fax_number": "317-288-9758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6515 E 82ND ST STE 101",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501544",
"telephone_number": "317-288-9775",
"fax_number": "317-288-9758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON ALLIANCE HOMECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "TERRI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "317-288-9775",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.