AVONDALE VAN BUREN ALF, LLC
NPI 1396558805
Assisted Living Facility in Avondale, AZ

Q: What is Avondale Van Buren Alf, LLC's NPI number?

The NPI number for Avondale Van Buren Alf, LLC is 1396558805. It was assigned to this organization in the NPPES registry on January 29, 2025.

Q: What is Avondale Van Buren Alf, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 29, 2025CLIA 03D2205941 · Waiver

295 E VAN BUREN ST, AVONDALE, AZ 85323(602) 603-8200 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Avondale Van Buren Alf, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVONDALE VAN BUREN ALF, LLC (NPI 1396558805) is a healthcare organization registered as an assisted living facility in Avondale, Arizona and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Jo Ellen Bleavins, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1396558805

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameAVONDALE VAN BUREN ALF, LLC

Location Address295 E VAN BUREN STAvondale, AZ 85323-1419

Mailing Address121 W Wacker Dr Ste 400Chicago, IL 60601-1781 · (217) 620-9874

Phone(602) 603-8200

Organization SubpartNo

Authorized OfficialJo Ellen BleavinsPresident And Ceo · (217) 620-9874

Enumeration DateJanuary 29, 2025

NPPES CertifiedJanuary 29, 2025

✔ NPI 1396558805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

295 E VAN BUREN ST, Avondale, AZ 85323

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2205941

Avondale Van Buren Alf, LLC · Avondale, AZ

Active · expires Dec 15, 2026

CLIA Number03D2205941

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 16, 2024

Certificate Expiration DateDecember 15, 2026

Laboratory DirectorJennifer Nealon

Laboratory Phone(602) 603-8200

Laboratory LocationAvondale Van Buren Alf, LLC295 E Van Buren St, Avondale, AZ 85323

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avondale Van Buren Alf, LLC's NPI number?

The NPI number for Avondale Van Buren Alf, LLC is 1396558805. It was assigned to this organization in the NPPES registry on January 29, 2025.

Where is Avondale Van Buren Alf, LLC located?

Avondale Van Buren Alf, LLC is located at 295 E Van Buren St, Avondale, AZ 85323. The listed phone number is (602) 603-8200.

What is Avondale Van Buren Alf, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Avondale Van Buren Alf, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2205941) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avondale Van Buren Alf, LLC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.