Avalon Care Center Tucson LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI-2643 Issued in AZ

Legal business name

AVALON CARE CENTER TUCSON LLC

Doing business as

Avalon Southwest Health & Rehabilitation

Practice address

2900 E Ajo Way
Tucson, AZ 85713-6211

Phone

(520) 294-0005

Fax

(520) 294-4417

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Faye Lincoln

Title

VP, Policy/Government Relations

Phone

(801) 325-0153

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avalon Southwest Health & Rehabilitation Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1770577710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0153",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136211",
            "telephone_number": "520-294-0005",
            "fax_number": "520-294-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER TUCSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "VP, POLICY/GOVERNMENT RELATIONS",
        "authorized_official_telephone_number": "801-325-0153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835118",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Southwest Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trisa Elaine Austin, RRT
• Audrey Sue Autrey, M.A., LPC, NCC
• Alize Autry, RBT, BS
• Autumn Cove LLC
• Ava K Becker DMD PLLC
• Avalon Health & Rehab Center-Tucson LLC
• Andres Avalos
• Christian Alexander Avalos
• Patricia A. Avalos, MAED
• Avant Recovery LLC

• Skilled Nursing Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.