AVALON PROGRAMS, LLC – NPI #1164556544
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

AVALON PROGRAMS, LLC is a substance abuse rehabilitation facility located in EAGAN, MN. NPPES has assigned the NPI number 1164556544 to AVALON PROGRAMS, LLC on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Feb 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVALON PROGRAMS, LLC below.

NPI Profile for
AVALON PROGRAMS, LLC

NPI Number
1164556544
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVALON PROGRAMS, LLC
Primary location
3740 WASHINGTON DRIVE # 165
EAGAN, MN 55122
Phone: (651) 454-2833 Fax: (651) 454-2972
Mailing address
3470 WASHINGTON AVE SUITE 165
EAGAN, MN 55122
Phone: (612) 326-7600 Fax: (651) 631-3231
Organization Subpart
No
Authorized Official
LEWIS ZEIDNER
CEO
Phone: (763) 245-8278
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MN
101YA0400X
- Counselor / Addiction (Substance Use Disorder)
MN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.