Azure Group Home

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

98459865401 Issued in NV

Legal business name

AZURE GROUP HOME

Doing business as

Our Kids Home

Practice address

4180 S Pecos Rd Ste 115
Las Vegas, NV 89121-5075

Phone

(702) 433-5368

Fax

(702) 434-2485

NPI assigned

Oct 31, 2006

Last updated

Aug 22, 2020By 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

Yelena Yekta

Title

President/Manager

Phone

(702) 433-5368

Specialties & licenses 1

Addresses

Other names 1

• OUR KIDS HOME Doing business as

Tax ID family

Azure Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Azure Group Home

  • Developmentally Disabled Services Day Training Agency
  • Las Vegas, NV
  • NPI 1588745038
  NPD tax ID

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407932569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 S PECOS RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 S PECOS RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215075",
            "telephone_number": "702-433-5368",
            "fax_number": "702-434-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEKTA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PRESIDENT/MANAGER",
        "authorized_official_telephone_number": "702-433-5368"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "98459865401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR KIDS HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Takouhi Tina Aznavour
• Abdul Azozjasim
• Gardenia Azpeitia
• Luis D Azpeitia, PT
• Alexander Azuma
• Azure Group Home
• Azure Guerra PLLC (Azure Integrated Care)
• Muntasser Thaer Azza
• William T Azzoli, MD
• B & H Medical Center LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.