Azalea Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AZALEA MANOR

Practice address

1759 Windermere Dr
Lancaster, CA 93534-5319

Phone

(818) 687-3830

Fax

(661) 949-1304

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Anderson Bangis Munoz

Title

Ceo

Phone

(818) 687-3830

Specialties & licenses 1

Addresses

Other names 1

• Azalea Manor Former legal business name

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1801643838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 ROYWOOD DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354223",
            "telephone_number": "818-687-3830",
            "fax_number": "661-949-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 WINDERMERE DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345319",
            "telephone_number": "818-687-3830",
            "fax_number": "661-949-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_middle_name": "BANGIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-687-3830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea Manor",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Skilled Nursing Facility in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.