AVONDALE HEALTH SERVICES INC. NPI 1851600324

NPI Information

NPI: 1851600324
Provider Name: AVONDALE HEALTH SERVICES INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3508 KENSINGTON RD
DECATUR, GA
ZIP 30032
Phone: (404) 294-0203
Get Directions

AVONDALE HEALTH SERVICES INC. is an assisted living facility in Decatur, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AVONDALE HEALTH SERVICES INC. NPI is 1851600324. The provider is registered as an organization entity type.

The provider's business location address is:

3508 KENSINGTON RD
DECATUR, GA
ZIP 30032-328
Phone: (404) 294-0203
Fax: (404) 294-0208

The provider's authorized official is Trevor Anthony Waldemar .
The authorized official title is Vice President and has the following contact phone number (404) 294-0203.

The enumeration date for this NPI number is 10/1/2010 and was last updated on 10/1/2010.

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	310400000X	Assisted Living Facility		00483931A	GEORGIA	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	300028513B	MEDICAID	GEORGIA
2	300028513A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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