Organization Active NPI

American Volunteers Homes, LLC

  • Assisted Living Facility
  • Crystal, MN
National Provider Identifier
1851059976
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AMERICAN VOLUNTEERS HOMES, LLC
Doing business as
American Volunteers Homes, LLC
Practice address
5202 Quail Ave N
Crystal, MN 55429-3213
Phone
(763) 710-9696
Fax
(763) 201-5822
NPI assigned
Dec 6, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Floyd Prince George
Title
Administrator
Phone
(763) 210-8532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

5202 Quail Ave N
Crystal, MN 55429-3213

Mailing address

5202 Quail Ave N
Crystal, MN 55429-3213
Phone (763) 710-9696

Other names 1

  • American Volunteers Homes, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1851059976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 QUAIL AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293213",
            "telephone_number": "763-710-9696",
            "fax_number": "763-201-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 QUAIL AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293213",
            "telephone_number": "763-710-9696",
            "fax_number": "763-201-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN VOLUNTEERS HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "PRINCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-210-8532"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Volunteers Homes, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.