Azul Rehab Services LLC

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

Last updated

Mar 26, 2021By 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

Teal Janine Wilkerson, OTR/LNPI 1366489411

Title

Owner

Phone

(313) 770-5510

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teal Janine Wilkerson, OTR

  • Occupational Therapist
  • Harper Woods, MI
  • NPI 1366489411
  Authorized official Same address or phone

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": []
}

• Samir Abdul Aziz, M.D.
• Zafar Sardar Aziz
• Nazila Azordegan
• Fouad Mrad Azoury, M.D.
• Margaret Azuh, PH.D.
• Oluchukwu Jessica Azumah
• Anna Tom Azuz
• Azza Ali PLLC
• Abraham Lawrence Azzouz, D.D.S.
• Joseph Azzouz, DDS

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• 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.