AVALON PLACE LP NPI 1396754750

NPI Information

NPI: 1396754750
Provider Name: AVALON PLACE, LP

Doing Business As: AVALON PLACE

Classification: Durable Medical Equipment & Medical Supplies - 332BN1400X
Entity Type: Organization

Specialization: Nursing Facility Supplies

Address:
4385 OLD STERLINGTON RD
MONROE, LA
ZIP 71203
Phone: (318) 322-2000
Get Directions

AVALON PLACE, LP is a nursing facility supplies durable medical equipment medical supplies in Monroe, LA. AVALON PLACE, LP NPI is 1396754750. The provider is registered as an organization entity type.
The provider Is Doing Business As Avalon Place.

The provider's business location address is:

4385 OLD STERLINGTON RD
MONROE, LA
ZIP 71203-360
Phone: (318) 322-2000
Fax: (318) 812-2143

The provider's authorized official is Dawne R Smith .
The authorized official title is Ceo and has the following contact phone number (318) 812-2140.

The CLIA number assigned to this NPI record is 19D0958625 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 2/14/2014.

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	314000000X	Skilled Nursing Facility		435	LOUISIANA	No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
3	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1521094	MEDICAID	LOUISIANA
2	3965490001	MEDICARE NSC	LOUISIANA
3	195492	MEDICARE OSCAR/CERTIFICATION	LOUISIANA
4	3965490001	OTHER	LOUISIANA	PALMETTO GBA DMERC

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: 11/14/2023

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