AVONDALE HEALTH SERVICES INC (NPI# 1740662402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740662402 |
| Entity Type | Organization |
| Organization Name | AVONDALE HEALTH SERVICES INC |
| Practice Address |
3508 Kensington Rd Decatur GA 30032-1328 |
| Practice Telephone | 4042940203 |
| Practice Fax Number | 4042940208 |
| Mailing Telephone | 4042940203 |
| Mailing Fax Number | 4042940208 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | TREVOR ANTHONY WALDEMAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7709125128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | GA | Nursing & Custodial Care Facilities |
| Street Address |
3508 KENSINGTON RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497893879 | Avondale Health Services Inc. | Assisted Living Facility | 3508 Kensington Rd, Decatur, GA 30032-1328 | 2007-02-01 |
| 1851600324 | Avondale Health Services Inc. | Assisted Living Facility | 3508 Kensington Rd, Decatur, GA 30032-1328 | 2010-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| 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 |
|---|---|---|---|---|
| 1013381235 | Altrus | Assisted Living Facility | 3363 Luxembourg Cir, Decatur, GA 30034-5418 | 2015-11-27 |
| 1013274794 | Live Oak Management, L.p. | Assisted Living Facility | 300 E Devereaux St, Decatur, TX 76234-3033 | 2012-04-18 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1952638769 | Greater Works, Inc. | Assisted Living Facility | 2551 Rainshower Dr, Decatur, GA 30034-2164 | 2009-11-16 |
| 1730373416 | Ambassador of Angels Inc. | Assisted Living Facility | 3782 Citation Dr, Decatur, GA 30034-2128 | 2007-09-05 |
| 1316069099 | Eagle Ridge of Decatur, Lp | Assisted Living Facility | 875 W Mckinley Ave, Decatur, IL 62526-3287 | 2007-04-04 |
| 1497893879 | Avondale Health Services Inc. | Assisted Living Facility | 3508 Kensington Rd, Decatur, GA 30032-1328 | 2007-02-01 |
| 1184662017 | Morningside of Decatur, L.p. | Assisted Living Facility | 2115 Point Mallard Dr Se, Decatur, AL 35601-6765 | 2006-06-03 |
| 1972961415 | Live Oak Holdings, LLC | Assisted Living Facility | 300 E Devereaux St, Decatur, TX 76234-3033 | 2016-01-28 |
| 1851600324 | Avondale Health Services Inc. | Assisted Living Facility | 3508 Kensington Rd, Decatur, GA 30032-1328 | 2010-10-01 |
| Find all providers in DECATUR | ||||
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| 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.