Azza Provider Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010848 Issued in TX

Legal business name

AZZA PROVIDER SERVICES INC

Doing business as

AZZA Home HealthCare Agency

Practice address

6501 Nicole Way
Arlington, TX 76002-2988

Phone

(817) 703-8652

Fax

(817) 467-2533

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Agatha Okojie

Title

Administrator

Phone

(817) 703-8652

Specialties & licenses 4

Addresses

Other names 1

• AZZA Home HealthCare Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 743126

Legal name

AZZA PROVIDER SERVICES INC

Doing business as

AZZA HOME HEALTHCARE AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 15, 2008

Last certification

Aug 7, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 11, 2006 in TX

Enrollment address

6501 Nicole Way
Arlington, TX 76002-2988
HHA Branch

Listed as

Azza Home Health Care AgencyCCN 743126

Ownership

Proprietary

Certified

Apr 15, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1174690143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 NICOLE WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760022988",
            "telephone_number": "817-703-8652",
            "fax_number": "817-467-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 NICOLE WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760022988",
            "telephone_number": "817-703-8652",
            "fax_number": "817-467-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZZA PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "OKOJIE",
        "authorized_official_first_name": "AGATHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-703-8652"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010848",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZZA Home HealthCare Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AZZA Home HealthCare Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Okah Ayidu-Omo, O.D
• Ayod Worldwide Ventures LLC
• Noora Ayyash, DDS
• Mohammed Humayun Aziz
• Azm Home Care LLC
• B Kent Smith DDS PA
• B Rai Mehta, MD PA
• Oluyemisi Adeola Babajide, ADMINISTRATOR
• Mercy Oludolapo Babatope
• Shelby Babcock, DPT

• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.