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AVALON MEMORY CARE, LLC
NPI 1790295558
Assisted Living Facility in Saint Louis, MO

Active since October 06, 2017CLIA 26D2131444 · Waiver
5342 BUTLER HILL RD, SAINT LOUIS, MO 63128(314) 849-2960 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avalon Memory Care, Llc NPPES

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

AVALON MEMORY CARE, LLC (NPI 1790295558) is a healthcare organization registered as an assisted living facility in Saint Louis, Missouri and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Jonathan Seib, Manager, as its authorized official.

NPPES Registry Identity

NPI1790295558
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAVALON MEMORY CARE, LLC
Location Address5342 BUTLER HILL RDSaint Louis, MO 63128-4152
Mailing Address1625 N Stemmons FwyDallas, TX 75207-3411 · (214) 752-7050
Phone(314) 849-2960
Organization SubpartNo
Authorized OfficialJonathan SeibManager · (214) 752-7050
Enumeration DateOctober 6, 2017
✔ NPI 1790295558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MO · 045258
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.
5342 BUTLER HILL RD, Saint Louis, MO 63128
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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 26D2131444

Avalon Memory Care · Saint Louis, MO
Active · expires May 29, 2027
CLIA Number26D2131444
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorHannah Seib
Laboratory Phone(314) 849-2960
Laboratory LocationAvalon Memory Care5322 Butler Hill Rd, Saint Louis, MO 63128
CLIA data matches this NPI record on: 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 Avalon Memory Care, LLC's NPI number?

The NPI number for Avalon Memory Care, LLC is 1790295558. It was assigned to this organization in the NPPES registry on October 6, 2017.

Where is Avalon Memory Care, LLC located?

Avalon Memory Care, LLC is located at 5342 Butler Hill Rd, Saint Louis, MO 63128. The listed phone number is (314) 849-2960.

What is Avalon Memory Care, LLC's specialty?

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

Does Avalon Memory Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2131444) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avalon Memory Care, LLC was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.