Avondale Health Services Inc.

LBN: Avondale Health Services Inc.
Avondale Health Services Inc. is an health care organization with primary practice located at 3508 Kensington Rd , Decatur GA 30032-1328. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Avondale Health Services Inc. can be contacted via phone (404) 294-0203, or through Waldemar, Trevor Anthony via phone (404) 294-0203.

Contact Information

Primary practice address
3508 Kensington Rd Decatur GA 30032-1328
Phone: (404) 294-0203
Fax: (404) 294-0208
Website:
Map and Directions
Authorized official contact:
Name: Waldemar, Trevor Anthony MBA
Phone: (404) 294-0203

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 00483931A Georgia

Profile Details

NPI number 1851600324
LBN Legal business name Avondale Health Services Inc.
DBA Doing business as
Authorized official Waldemar, Trevor Anthony MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2010
Last updated Oct 1st, 2010 - about 14 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 1851600324 NPPES
Georgia MEDICAID 300028513A
Georgia MEDICAID 300028513B

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