AVALONIA GROUP HOMES INC. NPI 1558881524

NPI Information

  • NPI: 1558881524
  • Provider Name: AVALONIA GROUP HOMES, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 404 HAMPTON AVE
    PICKENS, SC
    ZIP 29671
  • Phone: (864) 836-7220

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NPI Details

AVALONIA GROUP HOMES, INC. is a family medicine in Pickens, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVALONIA GROUP HOMES, INC. NPI is 1558881524. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 HAMPTON AVE
PICKENS, SC
ZIP 29671-608
Phone: (864) 836-7220

The provider's authorized official is John M Short .
The authorized official title is Ceo and has the following contact phone number (864) 313-5274.

The enumeration date for this NPI number is 6/21/2017 and was last updated on 6/21/2017.

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
1207Q00000XFamily MedicineSOUTH CAROLINAYes

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
11083852511MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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