Organization Active NPI

Avenza Supply Inc

  • Home Health Agency
  • Valley Stream, NY
National Provider Identifier
1346154135
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVENZA SUPPLY INC
Practice address
3 Olsen St
Valley Stream, NY 11580-1019
Phone
(202) 482-9059
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Kasimov Azamat
Title
Founder
Phone
(202) 482-9059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3 Olsen St
Valley Stream, NY 11580-1019

Mailing address

3 Olsen St
Valley Stream, NY 11580-1019
Phone (202) 482-9059

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1346154135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OLSEN ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801019",
            "telephone_number": "202-482-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OLSEN ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801019",
            "telephone_number": "202-482-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENZA SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "AZAMAT",
        "authorized_official_first_name": "KASIMOV",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "202-482-9059"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.