# AVALON CARE CENTER-MADERA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Avalon Health Care - Madera
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730173725
- **Authorized official:** CHARLES KIRTON (CEO/CHAIRMAN)
- **Authorized official phone:** (801) 596-8844

## Contact information

- **Practice address:** 1700 HOWARD RD, MADERA, CA 93637-5131
- **Practice address phone:** (559) 276-8765
- **Practice address fax:** (559) 673-0753
- **Mailing address:** 206 N 2100 W, SALT LAKE CITY, UT 84116-4740
- **Mailing address phone:** (801) 596-8844
- **Mailing address fax:** (801) 596-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 040000166 | CA | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 08/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05191H | — | CA |