Avalon's Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10813 Issued in FL

Legal business name

AVALON'S ASSISTED LIVING

Practice address

1250 Willow Branch Dr
Orlando, FL 32828-7461

Phone

(407) 965-1145

Fax

(407) 965-1141

NPI assigned

Jul 26, 2013

Last updated

Jul 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Chiqquittia S.E. Carter-Walker

Title

Administrator

Phone

(407) 963-0213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1710329123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WILLOW BRANCH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287461",
            "telephone_number": "407-965-1145",
            "fax_number": "407-965-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WILLOW BRANCH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287461",
            "telephone_number": "407-965-1145",
            "fax_number": "407-965-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON'S ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "CARTER-WALKER",
        "authorized_official_first_name": "CHIQQUITTIA",
        "authorized_official_middle_name": "S.E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-963-0213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Park Family Medicine
• Avalon Park Home Healthcare, LLC
• Avalon Park Pharmacy Corporation
• Avalon Park Urgent Care
• Avalon SH Management (Encore at Avalon Park)
• Avalon's Assisted Living II
• Avalondental Group
• Sabrina Avalos
• Avante at Orlando, Inc.
• Avante Group, Inc.

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.