Active NPI
Avondale Care Group LLC
- Home Health Agency
- New York, NY
National Provider Identifier
1962728584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1625L 001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Westbury, NY
- NPI 1467734095
-
- Administrator Registered Nurse
- New York, NY
- NPI 1477805281
-
- Registered Nurse
- New York, NY
- NPI 1053876318
-
- Family Nurse Practitioner
- Guayama, PR
- NPI 1194383240
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.