Healthcare Provider Details

I. General information

NPI: 1366245789
Provider Name (Legal Business Name): AVON NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32900 DETROIT RD
AVON OH
44011-2018
US

IV. Provider business mailing address

32900 DETROIT RD
AVON OH
44011-2018
US

V. Phone/Fax

Practice location:
  • Phone: 440-937-6201
  • Fax:
Mailing address:
  • Phone: 440-937-6201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: NATE BEHREM
Title or Position: COUNCIL
Credential:
Phone: 440-937-6201