AVALON PLACE, LP (NPI# 1396754750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396754750 |
Entity Type | Organization |
Organization Name | AVALON PLACE, LP |
Other Organization Name | AVALON PLACE |
Practice Address |
4385 Old Sterlington Rd Monroe LA 71203-2360 |
Practice Telephone | 3183222000 |
Practice Fax Number | 3188122143 |
Mailing Telephone | 3183222000 |
Mailing Fax Number | 3188122143 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2014-02-14 |
Authorized Official Name | MS. DAWNE R SMITH (CEO) |
Authorized Official Telephone | 3188122140 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | 435 | LA | Nursing & Custodial Care Facilities |
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1521094 | 05 | |
LA | PALMETTO GBA DMERC | 3965490001 | 01 |
Other Name | Type Code |
---|---|
Avalon Place | Doing Business As Name - Organization |
Street Address |
4385 OLD STERLINGTON RD |
City | MONROE |
State | LA |
Zip Code | 71203-2360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
Find all providers in zip 71203 |
Taxonomy Code | 332BN1400X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Nursing Facility Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659380004 | Southern Acres Care Center, Lp | Durable Medical Equipment & Medical Supplies | 4600 Reddix Ln, Monroe, LA 71202-5949 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164577276 | Emerald Medical Supply | Durable Medical Equipment & Medical Supplies | 39362 Meadowbrook Ave, Prairieville, LA 70769-4836 | 2007-01-25 |
1619028917 | South Shreve Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 8520 Business Park Dr, Shreveport, LA 71105-5654 | 2007-01-15 |
1730124488 | Virginia Hall Nursing Home | Durable Medical Equipment & Medical Supplies | 2715 Albert L Bicknell Dr, Shreveport, LA 71103-3925 | 2006-06-17 |
1518911205 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 203 Four Park Rd, Lafayette, LA 70507-2481 | 2006-05-19 |
1609865096 | Acadian Oaks Nursing Home LLC | Durable Medical Equipment & Medical Supplies | 2707 Kaliste Saloom Rd, Lafayette, LA 70508-7139 | 2005-10-18 |
1194710590 | Brown Development, LLC | Durable Medical Equipment & Medical Supplies | 32 Crothers Dr, Tallulah, LA 71282-5510 | 2005-09-13 |
1245231992 | Notre Dame Health System | Durable Medical Equipment & Medical Supplies | 1050 Medical Center Blvd, Marrero, LA 70072-3144 | 2005-08-03 |
1609876267 | Express Medical Products, Inc. | Durable Medical Equipment & Medical Supplies | 301 Veterans Blvd, Denham Springs, LA 70726-4722 | 2005-07-26 |
1972502185 | Ollie Steele Burden Manor, Inc | Durable Medical Equipment & Medical Supplies | 7435 Bishop Ott Drive, Baton Rouge, LA 70806-8930 | 2005-07-19 |
1386031235 | Carmichael's Cashway Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4809 Ambassador Caffery Pkwy, Suite 220, Lafayette, LA 70508-8800 | 2015-04-17 |
Find all providers with the same taxonomy |
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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.