AVON PLACE
NPI 1588010300
Skilled Nursing Facility in Avon, OH

NPI Status: Active since May 11, 2016

Contact Information

32900 DETROIT RD
AVON, OH
ZIP 44011
Phone: (440) 937-6201
Fax: (440) 937-5955

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 36D2128408
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 03-28-2025

About AVON PLACE

This page provides the complete NPI Profile along with additional information for Avon Place, a provider established in Avon, Ohio operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1588010300 assigned on May 2016. The practitioner's primary taxonomy code is 314000000X with license number 1195N (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Avon Place. The authorized official of this NPI record is Daniel Parker (President)

NPI
1588010300
Provider Legal Name
CARDINAL AVON, INC.
Other Organization Name
AVON PLACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
32900 DETROIT RD AVON, OH 44011
Location Phone
(440) 937-6201
Location Fax
(440) 937-5955
Mailing Address
25000 COUNTRY CLUB BLVD STE 255 NORTH OLMSTED, OH 44070
Mailing Phone
(330) 554-6619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2016
Last Update Date
11-05-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
1195N
License State
OH
Taxonomy Description
(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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL PARKER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(330) 554-6619

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0168919MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2128408
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
March 29, 2023
Certificate Expiration Date
March 28, 2025
Laboratory Director
COURTNEY CRAIG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avon Place to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AVON PLACE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588010300
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516801030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 0 + 1 + 0 + 3 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1588010300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720312069THE FOOT AND ANKLE CLINIC LLC
Organization
Clinic/Center (Podiatric)32900 DETROIT RD
AVON, OH 44011
(440) 937-6201
1992034516WESTSHORE PRIMARY CARE ASSOC., INC.
Organization
Internal Medicine32900 DETROIT RD
AVON, OH 44011
(440) 250-8660
1891102760DIVERSICARE OF AVON, LLC
Organization
Skilled Nursing Facility32900 DETROIT RD
AVON, OH 44011
(440) 937-6201
1982061560MRS. KATHRYN F SENFT
Individual
Speech-Language Pathologist32900 DETROIT RD
AVON, OH 44011
(440) 937-6201
1962528422GOOD SAMARITAN HEALTH GROUP, INC
Organization
Skilled Nursing Facility32900 DETROIT RD
AVON, OH 44011
(440) 937-6201
1982807954GOOD SAMARITAN NURSING HOME, LLC
Organization
Skilled Nursing Facility32900 DETROIT RD
AVON, OH 44011
(440) 937-0410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588010300, enumerated in the NPI registry as an "organization" on May 11, 2016

The provider is located at 32900 Detroit Rd Avon, Oh 44011 and the phone number is (440) 937-6201

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D2128408 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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