Azalea Garden LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AZALEA GARDEN LLC

Practice address

3300 N Pioneer Way
Las Vegas, NV 89129-6206

Phone

(702) 994-6699

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Devin Chandler Lees

Title

Owner/Administrator

Phone

(702) 994-6699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1568147379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N PIONEER WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296206",
            "telephone_number": "702-994-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N PIONEER WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296206",
            "telephone_number": "702-994-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "LEES",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-994-6699"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.