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Contact Information

AVALON HOSPICE MINNESOTA, LLC
8000 W 78TH ST STE 210
EDINA, MN55439-2549
 Phone: 612-361-0022
 Fax: 844-587-4798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for AVALON HOSPICE MINNESOTA, LLC

NPI # 1902343353
LBN Legal business name AVALON HOSPICE MINNESOTA, LLC
Authorized official JANET COMBS - (VP OF LICENSURE)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2017
Last updated 01/20/2026 - About 4 months ago
Identifiers
MN Medicaid 1902343353
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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