Organization Active NPI

Jpam Management & Consulting Inc

Doing business as Avalon Garden

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1942450879
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JPAM MANAGEMENT & CONSULTING INC
Doing business as
Avalon Garden
Practice address
4359 Taft Ave
Saint Louis, MO 63116-1533
Phone
(314) 752-2022
NPI assigned
Sep 29, 2008
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
John Brencick
Title
President
Phone
(314) 374-7419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

4359 Taft Ave
Saint Louis, MO 63116-1533

Mailing address

12844 Big Bend Rd
Saint Louis, MO 63122-5104
Phone (314) 374-7419

Other identifiers 1

IdentifierTypeStateIssuer
104650205MedicaidMO

Other names 1

  • AVALON GARDEN Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1942450879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 BIG BEND RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225104",
            "telephone_number": "314-374-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 TAFT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161533",
            "telephone_number": "314-752-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPAM MANAGEMENT & CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "BRENCICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-374-7419"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104650205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVALON GARDEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.