Azalea Academy for Exceptional Adults

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AZALEA ACADEMY FOR EXCEPTIONAL ADULTS

Practice address

230 W Rusk St
Tyler, TX 75701-1651

Phone

(903) 520-4229

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Saunders

Title

Executive Director

Phone

(903) 520-4229

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1295290385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S CHILTON AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012909",
            "telephone_number": "903-520-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W RUSK ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011651",
            "telephone_number": "903-520-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA ACADEMY FOR EXCEPTIONAL ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-520-4229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelly Ngweh Ayen, PHARMD
• Phillip Ayers
• Austilar Ayoka
• Macy Ayres, CPNP-PC
• Azalea
• Azalea Internal Medicine Associates PA
• Azalea Orthopedic & Sports Medicine Clinic PA
• Azalea Place Operating Company
• Samareh Cunningham Azar, MD
• Jasmine Azghani Vardeman, NP-C

• Developmentally Disabled Services Day Training Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Developmentally Disabled Services Day Training Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.