AVALON GARDENS NPI 1629339478

NPI Information

NPI: 1629339478
Provider Name: AVALON GARDENS
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
7 ROUTE 25A
SMITHTOWN, NY
ZIP 11787
Phone: (631) 724-2200
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AVALON GARDENS is a nursing care and pediatric skilled nursing facility in Smithtown, NY. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. AVALON GARDENS NPI is 1629339478. The provider is registered as an organization entity type.

The provider's business location address is:

7 ROUTE 25A
SMITHTOWN, NY
ZIP 11787-626
Phone: (631) 724-2200

The provider's authorized official is Akiva Fogel Fogel .
The authorized official title is Administrator and has the following contact phone number (631) 724-2200.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.

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	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	195281	NEW YORK	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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