Aza LLC

Primary specialty

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

License

2313-01-001 Issued in VA

Legal business name

AZA LLC

Practice address

944 Pollard St
Norfolk, VA 23504-1932

Phone

(757) 581-1708

Fax

(410) 874-0997

NPI assigned

Jun 20, 2017

Organization subpart

No

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

Authorized official

Name

Sharon Belin

Title

Ceo

Phone

(757) 581-1708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1104346238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 MYRTLE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044009",
            "telephone_number": "757-581-1708",
            "fax_number": "410-874-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 POLLARD ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041932",
            "telephone_number": "757-581-1708",
            "fax_number": "410-874-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "BELIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-581-1708"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2313-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.