Organization Active NPI

Aza Enterprise LLC

  • In Home Supportive Care Agency
  • Fresno, CA
National Provider Identifier
1124894316
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AZA ENTERPRISE LLC
Doing business as
Synergy Home Care
Practice address
2595 E Perrin Ave Ste 103
Fresno, CA 93720-5202
Phone
(559) 569-6799
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Ahmed Abdalla
Title
Owner
Phone
(559) 569-6799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2595 E Perrin Ave Ste 103
Fresno, CA 93720-5202

Mailing address

2595 E Perrin Ave Ste 103
Fresno, CA 93720-5202

Other names 1

  • Synergy Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

2595 E Perrin Ave
Ste 103
Fresno, CA 93720
Phone (559) 569-6799

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1124894316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 E PERRIN AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E PERRIN AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205202",
            "telephone_number": "559-569-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZA ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-569-6799"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.