Organization Active NPI

Ihc-Cinnaminson Urban Renewal Mt, LLC

Doing business as Azalea of Cinnaminson

  • Assisted Living Facility
  • Cinnaminson, NJ
National Provider Identifier
1770495608
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
IHC-CINNAMINSON URBAN RENEWAL MT, LLC
Doing business as
Azalea of Cinnaminson
Practice address
605 US-130
Cinnaminson, NJ 08077-3390
Phone
(856) 202-3380
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Christopher Wettig
Title
Chief Financial Officer
Phone
(316) 616-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

605 US-130
Cinnaminson, NJ 08077-3390

Mailing address

8415 E 21St St N Ste 100
Wichita, KS 67206-2959
Phone (316) 616-6288

Other names 1

  • Azalea of Cinnaminson Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1770495608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 E 21ST ST N STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062959",
            "telephone_number": "316-616-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 US-130",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773390",
            "telephone_number": "856-202-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC-CINNAMINSON URBAN RENEWAL MT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "WETTIG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "316-616-6214"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea of Cinnaminson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.