Azure Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AZURE HOME HEALTH INC

Practice address

2910 Inland Empire Blvd Ste 101
Ontario, CA 91764-4896

Phone

(909) 391-9089

Fax

(909) 920-6774

NPI assigned

Sep 16, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Winchester

Title

Ceo

Phone

(909) 391-9089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757304

Legal name

AZURE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 29, 2022

Last certification

Sep 13, 2022

Organization structure

CorporationProprietary

Incorporated

Jun 12, 2017 in CA

Enrollment address

2910 Inland Empire Blvd
Ste 101
Ontario, CA 91764-4896
HHA Branch

Listed as

Azure Home Health, IncCCN 757304

Ownership

-

Certified

Sep 29, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942729322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 INLAND EMPIRE BLVD STE 101",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644896",
            "telephone_number": "909-391-9089",
            "fax_number": "909-920-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 INLAND EMPIRE BLVD STE 101",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644896",
            "telephone_number": "909-391-9089",
            "fax_number": "909-920-6774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 N Lemon St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917643760",
            "country_code": "US",
            "telephone_number": "909-391-9089",
            "fax_number": "267-937-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZURE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-16",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-07",
        "status": "A",
        "authorized_official_last_name": "WINCHESTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-391-9089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Ontario, CA
• Providers in Ontario, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.