Active NPI
Avalon Health Care, LLC
- Skilled Nursing Facility
- Nashville, TN
National Provider Identifier
1912905183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0000000044
- Legal business name
- AVALON HEALTH CARE, LLC
- Practice address
- 421 Ocala Dr
Nashville, TN 37211-6387 - Phone
- (615) 834-4214
- Fax
- (615) 833-9407
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Emily Whitcomb
- Title
- Vice President Operations
- Phone
- (615) 255-9670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0000000044 | TN | Primary |
Addresses
Primary practice location
421 Ocala Dr
Nashville, TN 37211-6387
Mailing address
217 Blanton Ave
Nashville, TN 37210-4703
Phone (615) 255-9670
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31565 | Other | TN | BLUE CROSS BLUE SHIELD # |
| 0445159 | Medicaid | TN | |
| 7440405 | Medicaid | TN |
Other names 1
- BETHANY HEALTH CARE CENTER
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Murfreesboro, TN
- NPI 1235885294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236297600000",
"number": "1912905183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 BLANTON AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372104703",
"telephone_number": "615-255-9670",
"fax_number": "615-255-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 OCALA DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372116387",
"telephone_number": "615-834-4214",
"fax_number": "615-833-9407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2009-03-06",
"status": "A",
"authorized_official_last_name": "WHITCOMB",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "EMILY",
"authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
"authorized_official_telephone_number": "615-255-9670"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "TN",
"license": "0000000044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "31565",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0445159",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7440405",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BETHANY HEALTH CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.