Avery Lane

LBN: Avery Lane
Avery Lane is an health care organization with primary practice located at 200 Atherton Ave , Novato CA 94945-3458. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Avery Lane can be contacted via phone (415) 895-5360, or through Hildebrand, Camille via phone (415) 686-6127.

Contact Information

Primary practice address
200 Atherton Ave Novato CA 94945-3458
Phone: (415) 895-5360
Fax: (415) 895-5053
Website:
Map and Directions
Authorized official contact:
Name: Hildebrand, Camille
Phone: (415) 686-6127

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1306568373
LBN Legal business name Avery Lane
DBA Doing business as
Authorized official Hildebrand, Camille
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2022
Last updated Oct 17th, 2023 - about last year

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 1306568373 NPPES
California Other 210049AP DHCS

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