Organization Active NPI

Azul Rehab Services LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1205372240
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5201002626 Issued in MI
Legal business name
AZUL REHAB SERVICES LLC
Practice address
5078 Fairview St
Detroit, MI 48213-3447
Phone
(313) 770-5510
Fax
(313) 469-9509
NPI assigned
Jan 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Teal Janine Wilkerson, OTR/L
Title
Owner
Phone
(313) 770-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5201002626 MI Primary

Addresses

Primary practice location

5078 Fairview St
Detroit, MI 48213-3447

Mailing address

20935 Anita St
Harper Woods, MI 48225-1126
Phone (313) 770-5510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1205372240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20935 ANITA ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251126",
            "telephone_number": "313-770-5510",
            "fax_number": "313-469-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 FAIRVIEW ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133447",
            "telephone_number": "313-770-5510",
            "fax_number": "313-469-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUL REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-15",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "TEAL",
        "authorized_official_middle_name": "JANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-770-5510",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "5201002626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.