Active NPI
Avante at Harrisonburg, Inc.
- Skilled Nursing Facility
- Harrisonburg, VA
National Provider Identifier
1780767780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH2489
- Legal business name
- AVANTE AT HARRISONBURG, INC.
- Practice address
- 94 South Ave
Harrisonburg, VA 22801-2827 - Phone
- (540) 433-2791
- Fax
- (540) 433-5163
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lisa Wilson
- Title
- President
- Phone
- (954) 987-7180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH2489 | VA | Primary |
Addresses
Primary practice location
94 South Ave
Harrisonburg, VA 22801-2827
Mailing address
4601 Sheridan Street
Suite 500
Hollywood, FL 33021-3439
Phone (540) 433-2791
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4960297 | Medicaid | VA | |
| 4951468 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479081600000",
"number": "1780767780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 SHERIDAN STREET",
"address_2": "SUITE 500",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213439",
"telephone_number": "540-433-2791",
"fax_number": "540-433-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 SOUTH AVE",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228012827",
"telephone_number": "540-433-2791",
"fax_number": "540-433-5163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVANTE AT HARRISONBURG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2016-11-14",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-987-7180",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "VA",
"license": "NH2489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4960297",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4951468",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.