Avalon Care Center-San Andreas Llc in Salt Lake City - Skilled Nursing Facility
Avalon Care Center-San Andreas Llc - NPI 1215921242
Avalon Care Center-San Andreas Llc is a Skilled Nursing Facility in Salt Lake City, Utah. Avalon Care Center-San Andreas Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Avalon Care Center-San Andreas Llc is 1215921242. The last update date is 2022-08-17.
Avalon Care Center-San Andreas Llc's current location address is 206 N 2100 W, Salt Lake City, Utah. You can contact this provider via phone number 8015968844 and fax number 8015969001. The mailing address for Avalon Care Center-San Andreas Llc is 206 N 2100 W, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon Care Center-San Andreas Llc |
|---|---|
| Address | 206 N 2100 W, Salt Lake City, Utah |
| Phone Number | 8015968844 |
| Fax Number | 8015969001 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/CHAIRM |
|---|---|
| Authorized Official Name | Kirton Charles |
| Telephone Number | 8015968844 |
NPI Number Detail
| NPI Number | 1215921242 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2022-08-17 |
Provider Mailing Address Detail
| Address | 206 N 2100 W |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841164740 |
| Phone Number | 8015968844 |
| Fax Number | 8015969001 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 30000135 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZR061321I | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Avalon Care Center-San Andreas Llc by the Centers for Medicare & Medicaid Services?
The Avalon Care Center-San Andreas Llc has been assigned the NPI (National Provider Identifier) 1215921242. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Avalon Care Center-San Andreas Llc is geographically located?
The Avalon Care Center-San Andreas Llc is physically situated at the following location: 206 N 2100 W, Salt Lake City, UT, 841164740.
What is Avalon Care Center-San Andreas Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Avalon Care Center-San Andreas Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Avalon Care Center-San Andreas Llc receive the assignment of its 1215921242 from the Centers for Medicare & Medicaid Services?
The Avalon Care Center-San Andreas Llc was issued its 1215921242 by the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date were the Avalon Care Center-San Andreas Llc's details last updated?
The information pertaining to the Avalon Care Center-San Andreas Llc, including its address, specialty, and other details, was most recently updated on 2022-08-17.