Organization Active NPI

The Avalon Assisted Living and Wellness Center

  • Assisted Living Facility
  • Wappingers Falls, NY
National Provider Identifier
1659547792
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
230-F-068 Issued in NY
Legal business name
THE AVALON ASSISTED LIVING AND WELLNESS CENTER
Practice address
1629 Route 376
Wappingers Falls, NY 12590-6140
Phone
(845) 463-0500
Fax
(845) 463-2159
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Ms. Beth L Zaccheo
Title
Comptroller
Phone
(845) 462-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 230-F-068 NY Primary

Addresses

Primary practice location

1629 Route 376
Wappingers Falls, NY 12590-6140

Mailing address

32 Pine Tree Dr
Poughkeepsie, NY 12603-5224
Phone (845) 462-4000

Other identifiers 1

IdentifierTypeStateIssuer
02113362MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1659547792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PINE TREE DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035224",
            "telephone_number": "845-462-4000",
            "fax_number": "845-462-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 ROUTE 376",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125906140",
            "telephone_number": "845-463-0500",
            "fax_number": "845-463-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AVALON ASSISTED LIVING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ZACCHEO",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "845-462-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "230-F-068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02113362",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.