Azalealand Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10251060 Issued in GA

Legal business name

AZALEALAND NURSING HOME, INC.

Practice address

2040 Colonial Dr
Savannah, GA 31406-2226

Phone

(912) 354-2752

Fax

(912) 352-2038

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Lewis Vonwaldner

Title

President

Phone

(912) 354-2752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194854638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 COLONIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062226",
            "telephone_number": "912-354-2752",
            "fax_number": "912-352-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 COLONIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062226",
            "telephone_number": "912-354-2752",
            "fax_number": "912-352-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEALAND NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VONWALDNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-354-2752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "10251060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Axelsson, DPT
• Wylene Michelle Aycock
• Obayode Ayewa, M.D.
• Azalea Counseling, LLC
• Azalealand Management Inc (Azalealand Nursing Home)
• Madiha Aziz, MD
• B Pediatrics, LLC (Be Pediatrics)
• Michael John Babcock, MD
• Anca Daniela Baboi, LPC
• Johnathan N Bacich, PA-C

• Skilled Nursing Facility in Savannah, GA
• Providers in Savannah, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.