Azalee Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AZALEE HOMECARE LLC

Practice address

1905 Gordon Hwy
Augusta, GA 30909-4406

Phone

(762) 328-9846

Fax

(706) 751-6172

NPI assigned

Dec 13, 2022

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kappitola MellsNPI 1699578088

Title

Authorized Official

Phone

(762) 328-9846

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kappitola Mells

  • Paramedic
  • Augusta, GA
  • NPI 1699578088
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1033820717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9421",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309169421",
            "telephone_number": "762-328-9846",
            "fax_number": "706-751-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 GORDON HWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094406",
            "telephone_number": "762-328-9846",
            "fax_number": "706-751-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "MELLS",
        "authorized_official_first_name": "KAPPITOLA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "762-328-9846"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayodele A Ayedun, M.D.
• Nicole Lynn Ayer, MS, RD, LDN
• Russ R Ayers, MD
• Ihab Azab, MD
• Azalea Health Center by Harborview, LLC
• Mohammad Umair Azam, MD
• Irfan Azeem, MD
• Sameera Azeem
• Fabian Azofeifa, PT
• Susannah Webb Azofeifa, DPT

• In Home Supportive Care Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.