Azure, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

HFD12-0054 Issued in DC

Legal business name

AZURE, LLC

Practice address

1490 Bangor St SE
Washington, DC 20020-4915

Phone

(202) 248-3898

Fax

(202) 248-4610

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Ann Warren

Title

President

Phone

(202) 309-0497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1073637674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 2ND ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116624",
            "telephone_number": "202-722-2791",
            "fax_number": "202-248-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 BANGOR ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204915",
            "telephone_number": "202-248-3898",
            "fax_number": "202-248-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-309-0497",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DC",
            "license": "HFD12-0054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington, DC
• Providers in Washington, DC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.