Organization Active NPI

Avalon Health Care, LLC

  • Skilled Nursing Facility
  • Nashville, TN
National Provider Identifier
1912905183
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0000000044 Issued in TN
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

Updated by the provider on Mar 6, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31565OtherTNBLUE CROSS BLUE SHIELD #
0445159MedicaidTN
7440405MedicaidTN

Other names 1

  • BETHANY HEALTH CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.