Active NPI
Ihc-Cinnaminson Urban Renewal Mt, LLC
Doing business as Azalea of Cinnaminson
- Assisted Living Facility
- Cinnaminson, NJ
National Provider Identifier
1770495608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.