Azarel Community Support, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AZAREL COMMUNITY SUPPORT, LLC

Practice address

112 Brandon Rd
Richmond, VA 23224-1212

Phone

(804) 928-3054

Fax

(804) 231-6129

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By 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

Tacola Whiting

Title

Owner

Phone

(804) 928-3054

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1386288041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BRANDON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232241212",
            "telephone_number": "804-928-3054",
            "fax_number": "804-231-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BRANDON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232241212",
            "telephone_number": "804-928-3054",
            "fax_number": "804-231-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAREL COMMUNITY SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "TACOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-928-3054"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES",
            "identifier": "2920",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Allen Ayers, MD
• Donald M Ayers, MD
• Sonja Ayers
• Martha Ebaide Premoboere Ayewah, D.O.
• Arden Aylesworth Jr., GNP, PMHNP, ANP
• Ahad Azeem, MD
• Mahnoor Azhar
• William Ndekoum Azie, MD
• Muriel Azria-Evans, CRC, LPC
• Ashley Azubuike

• Developmentally Disabled Services Day Training Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.