Avalon Care Center - Shadow Mountain

LBN: Avalon Care Center - Scottsdale, Llc
Avalon Care Center - Shadow Mountain is an health care organization with primary practice located at 11150 N 92Nd St , Scottsdale AZ 85260-6150. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Avalon Care Center - Scottsdale, Llc can be contacted via phone (480) 860-1766, or through Lincoln, Faye via phone (801) 325-0153.

Contact Information

Primary practice address
11150 N 92Nd St Scottsdale AZ 85260-6150
Fax: (480) 451-1539
Website:
Authorized official contact:
Name: Lincoln, Faye

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI-2641 Arizona

Profile Details

NPI number 1336133370
LBN Legal business name Avalon Care Center - Scottsdale, Llc
DBA Doing business as Avalon Care Center - Shadow Mountain
Authorized official Lincoln, Faye
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Jun 12th, 2015 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336133370 NPPES
Arizona MEDICAID 834748

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