Avalon Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

259103 Issued in MI

Legal business name

AVALON HOSPICE

Practice address

2360 Stonebridge Dr
Flint, MI 48532-5406

Phone

(810) 733-7250

Fax

(810) 733-8424

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Reeann Slagor

Title

Family Nurse Practictioner

Phone

(810) 733-7250

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811987357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 STONEBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-733-7250",
            "fax_number": "810-733-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STONEBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325406",
            "telephone_number": "810-733-7250",
            "fax_number": "810-733-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLAGOR",
        "authorized_official_first_name": "REEANN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTICTIONER",
        "authorized_official_telephone_number": "810-733-7250"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "259103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4708865",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5008704430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Loreal Austin
• Diane Rachel Austin, MSW,LMSW
• John L Austin Jr., D.D.S.
• Miangel Austin
• Molly M Austin, MD
• Cassandra Avance, LMSW
• Adrienna Avery-Earnest
• Courtney D Avery Sr., LLPC
• Marsha M Avery, LLPC
• Krystal Aviles

• Community Based Hospice Care Agency in Flint, MI
• Providers in Flint, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.