Avalon Care Center-Modesto Hy-Lond LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100000018 Issued in CA

Legal business name

AVALON CARE CENTER-MODESTO HY-LOND LLC

Doing business as

Hy-Lond Health Care Center-Modesto

Practice address

1900 Coffee Rd
Modesto, CA 95355-2703

Phone

(209) 526-1775

Fax

(209) 526-5630

NPI assigned

Sep 6, 2005

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 identifiers 1

Other names 1

• Hy-Lond Health Care Center-Modesto Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1851385843",
    "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",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552703",
            "telephone_number": "209-526-1775",
            "fax_number": "209-526-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER-MODESTO HY-LOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "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": "CA",
            "license": "100000018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06301I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Lond Health Care Center-Modesto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Modesto, CA
• Providers in Modesto, CA by specialty
• Skilled Nursing Facility in California

• 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.