NPIMap

Organization Active NPI

Avalon Gardens Adult Day Health Care

  • Skilled Nursing Facility
  • Smithtown, NY
National Provider Identifier
1659819951
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5157313N Issued in NY
Legal business name
AVALON GARDENS ADULT DAY HEALTH CARE
Practice address
7 Route 25a
Smithtown, NY 11787
Phone
(631) 724-1228
Fax
(631) 724-8879
NPI assigned
Feb 7, 2017
Organization subpart
Yes
Parent organization
AVALON GARDENS REHAB. & HCCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mrs. Jeryle Lohan
Title
Finance Manager
Phone
(631) 724-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5157313N NY Primary

Addresses

Primary practice location

7 Route 25a
Smithtown, NY 11787

Mailing address

7 Route 25a
Smithtown, NY 11787
Phone (631) 724-1228

Other identifiers 1

IdentifierTypeStateIssuer
02998209MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Avalon Gardens Rehabilitation and Health Care Center LLC3 organizations share this tax ID, including this one
Part of
Avalon Gardens Rehabilitation and Health Care Center LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1659819951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-724-1228",
            "fax_number": "631-724-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-724-1228",
            "fax_number": "631-724-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON GARDENS ADULT DAY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVALON GARDENS REHAB. & HCC",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "LOHAN",
        "authorized_official_first_name": "JERYLE",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "631-724-2200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5157313N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02998209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.