<?xml version="1.0"?>
<edgarSubmission>

    <schemaVersion>X0603</schemaVersion>

    <submissionType>D</submissionType>

    <testOrLive>LIVE</testOrLive>

    <primaryIssuer>
        <cik>0001322082</cik>
        <entityName>AVALON HEALTHCARE HOLDINGS INC</entityName>
        <issuerAddress>
            <street1>3030 N. ROCKY POINT DR. W.</street1>
            <street2>SUITE 800</street2>
            <city>TAMPA</city>
            <stateOrCountry>FL</stateOrCountry>
            <zipCode>33607</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>813549-0742</issuerPhoneNumber>
        <jurisdictionOfInc>DELAWARE</jurisdictionOfInc>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <edgarPreviousNameList>
            <value>None</value>
        </edgarPreviousNameList>
        <entityType>Corporation</entityType>
        <yearOfInc>
            <overFiveYears>true</overFiveYears>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>CHARLES</firstName>
                <middleName>T.</middleName>
                <lastName>O'NEILL</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3030 N. ROCKY POINT DR. W.</street1>
                <street2>SUITE 800</street2>
                <city>TAMPA</city>
                <stateOrCountry>FL</stateOrCountry>
                <zipCode>33607</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
                <relationship>Promoter</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>ANDREW</firstName>
                <middleName>B.</middleName>
                <lastName>CASSIDY</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3030 N. ROCKY POINT DR. W.</street1>
                <street2>SUITE 800</street2>
                <city>TAMPA</city>
                <stateOrCountry>FL</stateOrCountry>
                <zipCode>33607</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
                <relationship>Promoter</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>BRETT</firstName>
                <middleName>G.</middleName>
                <lastName>BARIS</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3030 N. ROCKY POINT DR. W.</street1>
                <street2>SUITE 800</street2>
                <city>TAMPA</city>
                <stateOrCountry>FL</stateOrCountry>
                <zipCode>33607</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>FREDRICK</firstName>
                <middleName>S.</middleName>
                <lastName>HAMMER</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3030 N. ROCKY POINT DR. W.</street1>
                <street2>SUITE 800</street2>
                <city>TAMPA</city>
                <stateOrCountry>FL</stateOrCountry>
                <zipCode>33607</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>KEVIN</firstName>
                <lastName>HILL</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3030 N. ROCKY POINT DR. W.</street1>
                <street2>SUITE 800</street2>
                <city>TAMPA</city>
                <stateOrCountry>FL</stateOrCountry>
                <zipCode>33607</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Health Insurance</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>$5,000,001 - $25,000,000</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>false</isAmendment>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2010-01-26</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isDebtType>true</isDebtType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>0</minimumInvestmentAccepted>
        <salesCompensationList></salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>400000</totalOfferingAmount>
            <totalAmountSold>385000</totalAmountSold>
            <totalRemaining>15000</totalRemaining>
            <clarificationOfResponse>Total amount sold includes holders of convertible secured notes that converted $385,000 of debt into this common stock offering.</clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>0</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>0</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse></clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>AVALON HEALTHCARE HOLDINGS INC</issuerName>
                <signatureName>/s/ CHARLES T. O'NEILL</signatureName>
                <nameOfSigner>CHARLES T. O'NEILL</nameOfSigner>
                <signatureTitle>CEO</signatureTitle>
                <signatureDate>2010-02-10</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
</edgarSubmission>
