Royal Healthcare of Avon Park,LLC.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF12290951 Issued in FL

Legal business name

ROYAL HEALTHCARE OF AVON PARK,LLC.

Practice address

1213 W Stratford Rd
Avon Park, FL 33825-8091

Phone

(863) 453-6674

Fax

(863) 453-9473

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Hall Coleman

Title

Business Office Manager

Phone

(863) 453-6674

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Care of Avon Park Doing business as

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710049192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W STRATFORD RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258091",
            "telephone_number": "863-453-6674",
            "fax_number": "863-453-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W STRATFORD RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258091",
            "telephone_number": "863-453-6674",
            "fax_number": "863-453-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HEALTHCARE OF AVON PARK,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "863-453-6674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF12290951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "L7B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Care of Avon Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.