AVALON HOSPICE MINNESOTA LLC NPI 1902343353

NPI Information

NPI: 1902343353
Provider Name: AVALON HOSPICE MINNESOTA, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 24D2128716

Address:
555 PARK ST
SUITE 320
SAINT PAUL, MN
ZIP 55103
Phone: (612) 361-0022
Get Directions

AVALON HOSPICE MINNESOTA, LLC is a hospice care community based in Saint Paul, MN. AVALON HOSPICE MINNESOTA, LLC NPI is 1902343353. The provider is registered as an organization entity type.

The provider's business location address is:

555 PARK ST
SUITE 320
SAINT PAUL, MN
ZIP 55103-142
Phone: (612) 361-0022
Fax: (844) 587-4798

The provider's authorized official is Jessica Kleberg .
The authorized official title is Vp Legal Affairs and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 24D2128716 - 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 1/24/2017.

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »