AVALON MANOR ASSISTED LIVING FACILITY LLC (NPI# 1609237163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609237163 |
| Entity Type | Organization |
| Organization Name | AVALON MANOR ASSISTED LIVING FACILITY LLC |
| Practice Address |
2580 First St Fort Myers FL 33901-2410 |
| Mailing Address |
2580 First Street Fort Myers FL 33901 |
| Practice Telephone | 2394795282 |
| Mailing Telephone | 2394795282 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | MRS. PATRICIA DEOSARAN (OWNER) |
| Authorized Official Telephone | 2394795282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL12029 | FL | Nursing & Custodial Care Facilities |
| Street Address |
2580 FIRST ST |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346703774 | Jahphet Y Grant | Assisted Living Facility | 2252 Wright St # A, Fort Myers, FL 33916-4345 | 2019-04-11 |
| 1255874806 | Southen Oaks Senior Living Care LLC | Assisted Living Facility | 2117 Earl Rd, Fort Myers, FL 33901-8015 | 2016-11-30 |
| 1700253531 | Coral House Assisted Living Community, LLC | Assisted Living Facility | 3501 Hancock Bridge Pkwy, Fort Myers, FL 33903-7095 | 2015-08-27 |
| 1063833788 | Sri At Health Park, LLC | Assisted Living Facility | 9461 Healthpark Cir, Fort Myers, FL 33908-3614 | 2013-12-23 |
| 1386073088 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 3600 Kings Crown Ct, Fort Myers, FL 33908-1648 | 2013-11-04 |
| 1093140451 | The Christian & Missionary Alliance Foundation Inc | Assisted Living Facility | 13901 Shell Point Plz, Fort Myers, FL 33908-2898 | 2013-09-04 |
| 1548507866 | Festa Enterprises Inc. | Assisted Living Facility | 6722 Winkler Rd, Fort Myers, FL 33919-7204 | 2013-01-07 |
| 1679875041 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 14521 Lakewood Blvd, Fort Myers, FL 33919-2829 | 2010-11-17 |
| 1073743167 | Ho Operating Company, LLC | Assisted Living Facility | 3625 Hidden Tree Ln, Fort Myers, FL 33901-8388 | 2009-07-23 |
| 1215184023 | Arden Courts of Ft Myers Fl LLC | Assisted Living Facility | 15950 Mcgregor Blvd, Fort Myers, FL 33908-2551 | 2008-08-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on AVALON MANOR ASSISTED LIVING FACILITY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.