Organization Active NPI

Avante at Harrisonburg, Inc.

  • Skilled Nursing Facility
  • Harrisonburg, VA
National Provider Identifier
1780767780
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2489 Issued in VA
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

Updated by the provider on Nov 14, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4960297MedicaidVA
4951468MedicaidVA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.