Avalon Care Center-Sonora Llc

LBN: Avalon Care Center-Sonora Llc
Avalon Care Center-Sonora Llc is an health care organization with primary practice located at 19929 Greenley Rd , Sonora CA 95370-5996. 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-Sonora Llc can be contacted via phone (209) 533-2500, or through Kirton, Charles via phone (801) 596-8844.

Contact Information

Primary practice address
19929 Greenley Rd Sonora CA 95370-5996
Phone: (209) 533-2500
Fax: (209) 533-0728
Website:
Map and Directions
Authorized official contact:
Name: Kirton, Charles
Phone: (801) 596-8844

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030000674 California

Profile Details

NPI number 1356335384
LBN Legal business name Avalon Care Center-Sonora Llc
DBA Doing business as
Authorized official Kirton, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 17th, 2022 - about 4 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 1356335384 NPPES
California MEDICAID LTC55736G

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