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Organization Active NPI

Avalon in Home Nursing and Rehabilitation LLC

  • Home Health Agency
  • Falls Church, VA
National Provider Identifier
1811269970
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVALON IN HOME NURSING AND REHABILITATION LLC
Practice address
6402 Arlington Blvd Ste 720
Falls Church, VA 22042-2356
Phone
(703) 269-2238
Fax
(703) 940-8999
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Authorized official

Name
Silvia Roxana Echeverria
Title
Administrator
Phone
(703) 269-2238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6402 Arlington Blvd Ste 720
Falls Church, VA 22042-2356

Mailing address

6402 Arlington Blvd Ste 720
Falls Church, VA 22042-2356
Phone (703) 269-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215000577 VA Part A Provider - Home Health Agency 2769643089 Practice locations: Falls Church, VA

Home health agency certification: CCN 497752

Legal name
AVALON IN HOME NURSING AND REHABILITATION LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2018
Last certification
Sep 3, 2019
Ownership / control type
Non-Profit
Organization structure
LLCNon-profit
Incorporated
Nov 15, 2019 in VA
Enrollment address
6402 Arlington Blvd
Ste 720
Falls Church, VA 22042-2356

Care Compare: Home health agency

Medicare Care Compare
Listed as
Avalon in Home Nursing and Rehabilitation LLCCCN 497752
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 29, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

7010 Little River Tpke
Ste 400B
Annandale, VA 22003
Phone (571) 286-5959

5019A Backlick Rd
Annandale, VA 22003

115 Creekside Ln
Winchester, VA 22602
Phone (540) 369-8322

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Silvia Echeverria Individual W-2 Managing EmployeeAdministrator Dec 1, 2019
Operational/Managerial ControlAdministrator Oct 1, 2019
Jospeh a Cauterucci Individual 5% Or Greater Direct Ownership Interest Mar 1, 2021 100%
Corporate OfficerCeo Mar 1, 2021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 36

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720915200000",
    "number": "1811269970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 ARLINGTON BLVD STE 720",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422356",
            "telephone_number": "703-269-2238",
            "fax_number": "703-940-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 ARLINGTON BLVD STE 720",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422356",
            "telephone_number": "703-269-2238",
            "fax_number": "703-940-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON IN HOME NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRIA",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "ROXANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-269-2238"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.