AVALON CARE CENTER - SONORA, LLC (NPI# 1356335384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356335384 |
| Entity Type | Organization |
| Organization Name | AVALON CARE CENTER - SONORA, LLC |
| Practice Address |
19929 Greenley Rd Sonora CA 95370-5996 |
| Mailing Address |
206 N 2100 W Suite 200 Slc UT 84116-4740 |
| Practice Telephone | 2095332500 |
| Practice Fax Number | 2095330728 |
| Mailing Telephone | 8013250153 |
| Mailing Fax Number | 8015969001 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | FAYE LINCOLN (VP, POLICY/GOVERNMENT RELATIONS) |
| Authorized Official Telephone | 8013250153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030000674 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55736G | 05 |
| Street Address |
19929 GREENLEY RD |
| City | SONORA |
| State | CA |
| Zip Code | 95370-5996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518426964 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 19929 Greenley Rd, Sonora, CA 95370-5996 | 2019-03-15 |
| 1871065946 | Jason M Hirtzel | Physical Therapist | 19929 Greenley Rd, Sonora, CA 95370-5996 | 2018-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
| Find all providers in zip 95370 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887401 | Sonora Community Hospital | Skilled Nursing Facility | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2005-11-02 |
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| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
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| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.