Azalea Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

044-R-0698 Issued in GA

Legal business name

AZALEA HOME CARE INC

Practice address

4187 Castle Pines CT
Tucker, GA 30084-2602

Phone

(770) 491-7122

Fax

(404) 601-9233

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael Brown

Title

President/Ceo

Phone

(770) 491-7122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1407151764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 CASTLE PINES CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4187 CASTLE PINES CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842602",
            "telephone_number": "770-491-7122",
            "fax_number": "404-601-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-491-7122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "044-R-0698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.