Avalon Manor Health Care Center

LBN: Avalon Home, Inc.
Avalon Manor Health Care Center is an health care organization with primary practice located at 14014 Marsh Pike , Hagerstown MD 21742-1638. 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 Home, Inc. can be contacted via phone (301) 733-8700, or through Kephart, Marlene via phone (301) 733-8700.

Contact Information

Primary practice address
14014 Marsh Pike Hagerstown MD 21742-1638
Fax: (301) 733-8700
Website:
Authorized official contact:
Name: Kephart, Marlene

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 21-001 Maryland

Profile Details

NPI number 1164477089
LBN Legal business name Avalon Home, Inc.
DBA Doing business as Avalon Manor Health Care Center
Authorized official Kephart, Marlene
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated May 19th, 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 1164477089 NPPES
Other 278161 AMERIGROUP
Other 02MM AMERIGROUP
Other 5522258 AMERIGROUP
Other RT3 AMERIGROUP
Other RT3 AMERIGROUP

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