Provider Demographics
NPI:1043780448
Name:AVINITY MANAGEMENT COMPANY
Entity Type:Organization
Organization Name:AVINITY MANAGEMENT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENYSE
Authorized Official - Middle Name:LENAE
Authorized Official - Last Name:ETHRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-861-2799
Mailing Address - Street 1:7645 LYNDALE AVE S STE 110
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-6008
Mailing Address - Country:US
Mailing Address - Phone:612-243-4585
Mailing Address - Fax:
Practice Address - Street 1:245 W 76TH ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2225
Practice Address - Country:US
Practice Address - Phone:612-861-2799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TWIN CITY CHRISTIAN HOMES SERVICES COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility