Avalon Care Center-Madera LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040000166 Issued in CA

Legal business name

AVALON CARE CENTER-MADERA LLC

Doing business as

Avalon Health Care - Madera

Practice address

1700 Howard Rd
Madera, CA 93637-5131

Phone

(559) 276-8765

Fax

(559) 673-0753

NPI assigned

Sep 6, 2005

Last updated

Aug 17, 2022By 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

Charles Kirton

Title

Ceo/Chairman

Phone

(801) 596-8844

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avalon Health Care - Madera Doing business as

Locations

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": "1730173725",
    "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": "1700 HOWARD RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375131",
            "telephone_number": "559-276-8765",
            "fax_number": "559-673-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER-MADERA 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": "040000166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05191H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Health Care - Madera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianne M Audler
• Supasri Chara Aueyong, PHARMD
• Harinder Aujla
• Maninder Singh Aulakh
• Daryl Wayne Austin IX
• Gabrielle Avena
• Angelica Marah Avila
• Celina Avila
• Marissa Angelique Avila
• Nick Valentine Avila, LCSW

• Skilled Nursing Facility in Madera, CA
• Providers in Madera, CA by specialty
• Skilled Nursing Facility in California

• 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.

Verify at the official NPI Registry.