AVALON PROGRAMS LLC (NPI# 1952766651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952766651 |
Entity Type | Organization |
Organization Name | AVALON PROGRAMS LLC |
Other Organization Name | NEW BEGINNINGS MINNESOTA AT ST. ANTHONY PARK |
Practice Address |
2446 University Ave W Suite 104 Saint Paul MN 55114-0001 |
Mailing Address |
550 Main St Ste 230 New Brighton MN 55112-3274 |
Practice Telephone | 6516470095 |
Mailing Telephone | 6123267600 |
Mailing Fax Number | 6124542178 |
Enumeration Date | 2015-12-22 |
Last Update Date | 2018-03-30 |
Authorized Official Name | LISA MARIE ASPER (DIRECTOR CONTRACT. CRED, AND PAYER) |
Authorized Official Telephone | 6124542046 |
Authorized Official Credential | MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 1047590 | MN | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
New Beginnings Minnesota at St. Anthony Park | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871627257 | Avalon Programs LLC | Counselor | 34079 Laketown Road, Suite #7, Sturgeon Lake, MN 55783 | 2007-03-15 |
1538293915 | Avalon Programs LLC | Counselor | 7501 80th Street South, Suite 102, Cottage Grove, MN 55016 | 2007-03-15 |
Street Address |
2446 UNIVERSITY AVE W SUITE 104 |
City | SAINT PAUL |
State | MN |
Zip Code | 55114-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598724270 | Barbara Kathryn Schwartz | Psychologist | 2446 University Ave W, # 130, Saint Paul, MN 55114-0001 | 2006-03-21 |
1558534024 | Supportive Housing and Managed Care Pilot | Case Management | 2446 University Ave W, Suite 150, Saint Paul, MN 55114-0001 | 2008-04-07 |
1124290754 | Supportive Housing and Managed Care Pilot | Case Management | 2446 University Ave W, Suite 150, Saint Paul, MN 55114-0001 | 2008-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
Find all providers in zip 55114 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
1376076604 | North Point Health &wellness Center | Substance Abuse Rehabilitation Facility | 950 Sherburne Ave, Saint Paul, MN 55104-2606 | 2017-04-04 |
1871931535 | Volunteers of America | Substance Abuse Rehabilitation Facility | 1394 Jackson St, Saint Paul, MN 55117-4629 | 2013-06-04 |
1780850446 | Volunteers of America of Minnesota | Substance Abuse Rehabilitation Facility | 5100 Hodgson Rd, Saint Paul, MN 55126-1229 | 2008-05-02 |
1649440355 | Juel Fairbanks Chemical Dependency Services | Substance Abuse Rehabilitation Facility | 806 Albert St N, Saint Paul, MN 55104-1303 | 2008-03-10 |
1588878599 | Tapestry, LLC | Substance Abuse Rehabilitation Facility | 1609 Jackson St, Saint Paul, MN 55117-3917 | 2007-05-09 |
1689708083 | Twin Town Treatment Center | Substance Abuse Rehabilitation Facility | 1706 University Ave W, Saint Paul, MN 55104-3614 | 2007-03-15 |
1154455533 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 1885 University Avenue West, Suite 151, Saint Paul, MN 55104 | 2007-03-15 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55114 |
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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.