Active NPI
Avalon Care Center-Merced Hy-Lond LLC
- Skilled Nursing Facility
- Merced, CA
National Provider Identifier
1700870797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 040000175
- Legal business name
- AVALON CARE CENTER-MERCED HY-LOND LLC
- Practice address
- 3170 M St
Merced, CA 95348-2403 - Phone
- (209) 723-1056
- Fax
- (209) 723-4009
- NPI assigned
- Sep 6, 2005
- 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
- Charles Kirton
- Title
- Ceo/Chairman
- Phone
- (801) 596-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 040000175 | CA | Primary |
Addresses
Primary practice location
3170 M St
Merced, CA 95348-2403
Mailing address
206 N 2100 W
Salt Lake City, UT 84116-4740
Phone (801) 596-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR05988G | Medicaid | CA |
Other names 1
- Hy-Lond Health Care Center-Merced
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660694400000",
"number": "1700870797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 2100 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841164740",
"telephone_number": "801-596-8844",
"fax_number": "801-596-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 M ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953482403",
"telephone_number": "209-723-1056",
"fax_number": "209-723-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON CARE CENTER-MERCED HY-LOND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-06",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A",
"authorized_official_last_name": "KIRTON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO/CHAIRMAN",
"authorized_official_telephone_number": "801-596-8844"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "040000175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR05988G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Lond Health Care Center-Merced",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.