NPIMap

Organization Active NPI

Azalea Home Care, Inc

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1134515877
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
044R0698 Issued in GA
Legal business name
AZALEA HOME CARE, INC
Practice address
3545 Cruse Rd Ste 309F
Lawrenceville, GA 30044-3162
Phone
(770) 491-7122
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Mr. Anish Patel
Title
President/Ceo
Phone
(770) 491-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 044R0698 GA Primary

Addresses

Primary practice location

3545 Cruse Rd Ste 309F
Lawrenceville, GA 30044-3162

Mailing address

3545 Cruse Rd Ste 309F
Lawrenceville, GA 30044-3162
Phone (770) 491-7122

National Provider Directory

National Provider Directory
Tax ID family
Azalea Home Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1134515877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 CRUSE RD STE 309F",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443162",
            "telephone_number": "770-491-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 CRUSE RD STE 309F",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443162",
            "telephone_number": "770-491-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-491-7122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044R0698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.