Avalon Care Center - Keizer LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AVALON CARE CENTER - KEIZER LLC

Doing business as

Avalon Care Center-Keizer

Practice address

4062 Arleta Ave NE
Keizer, OR 97303-4758

Phone

(503) 390-2271

NPI assigned

Nov 16, 2021

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Kirton

Title

Ceo/Chairman

Phone

(801) 596-8844

Specialties & licenses 1

Addresses

Other names 1

• Avalon Care Center-Keizer Doing business as

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1821754623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-596-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 ARLETA AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034758",
            "telephone_number": "503-390-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER - KEIZER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "KIRTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO/CHAIRMAN",
        "authorized_official_telephone_number": "801-596-8844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Care Center-Keizer",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avalon Care Center-Keizer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.