NPIMap

Organization Active NPI

Avalanche Care Inc

  • Home Health Agency
  • Spring Valley, NY
National Provider Identifier
1710438155
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0654L002 Issued in NY
Legal business name
AVALANCHE CARE INC
Practice address
130 Route 59
Spring Valley, NY 10977-5203
Phone
(845) 517-2292
Fax
(845) 352-1045
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Lovely Jeudy Pierre
Title
DPS/Owner
Phone
(845) 517-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0654L002 NY Primary

Addresses

Primary practice location

130 Route 59
Spring Valley, NY 10977-5203

Mailing address

130 Route 59
Spring Valley, NY 10977-5203
Phone (845) 517-2292

Other identifiers 1

IdentifierTypeStateIssuer
04171826MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Avalanche Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

130 Route 59
Spring Valley, NY 10977
Phone (845) 517-2292

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1710438155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775203",
            "telephone_number": "845-517-2292",
            "fax_number": "845-352-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775203",
            "telephone_number": "845-517-2292",
            "fax_number": "845-352-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALANCHE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "LOVELY",
        "authorized_official_middle_name": "JEUDY",
        "authorized_official_title_or_position": "DPS/OWNER",
        "authorized_official_telephone_number": "845-517-2292"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "0654L002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04171826",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.