Organization Active NPI

Avondale Care Group LLC

  • Home Health Agency
  • New York, NY
National Provider Identifier
1962728584
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1625L 001 Issued in NY
Legal business name
AVONDALE CARE GROUP LLC
Doing business as
Avondale
Practice address
505 8TH Ave RM 803
New York, NY 10018-6598
Phone
(646) 254-6255
Fax
(212) 971-4465
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Mrs. Allison J Viar
Title
Finance Manager
Phone
(646) 254-6255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1625L 001 NY Primary

Addresses

Primary practice location

505 8TH Ave RM 803
New York, NY 10018-6598

Mailing address

505 8TH Ave RM 200
New York, NY 10018-4681

Other names 1

  • Avondale Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120731000001 NY Part B Supplier - Clinic/Group Practice 9032374368 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

505 8th Ave
Rm 200
New York, NY 10018
Phone (646) 254-6250

505 8th Ave
Rm 803
New York, NY 10018
Phone (646) 254-6255

Practitioners & affiliated clinicians

Practitioners 4

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": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1962728584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 8TH AVE RM 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 8TH AVE RM 803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186598",
            "telephone_number": "646-254-6255",
            "fax_number": "212-971-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "VIAR",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "646-254-6255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1625L 001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avondale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.