AVALON HOSPICE IOWA LLC NPI 1043757495

NPI Information

NPI: 1043757495
Provider Name: AVALON HOSPICE IOWA, LLC

Doing Business As: GENTIVA I

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
4601 WESTOWN PKWY STE 105
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 218-9600
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AVALON HOSPICE IOWA, LLC is a hospice care community based in West Des Moines, IA. AVALON HOSPICE IOWA, LLC NPI is 1043757495. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva I.

The provider's business location address is:

4601 WESTOWN PKWY STE 105
WEST DES MOINES, IA
ZIP 50266-071
Phone: (515) 218-9600
Fax: (515) 619-5604

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 16D2127824 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 1/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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