Provider Demographics
NPI:1386678621
Name:A & Z HEALTH SERVICES INC
Entity Type:Organization
Organization Name:A & Z HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-545-0090
Mailing Address - Street 1:10700 OLD COUNTY ROAD 15
Mailing Address - Street 2:#310
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-6101
Mailing Address - Country:US
Mailing Address - Phone:763-545-0090
Mailing Address - Fax:763-545-0080
Practice Address - Street 1:10700 OLD COUNTY ROAD 15
Practice Address - Street 2:#310
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-6101
Practice Address - Country:US
Practice Address - Phone:763-545-0090
Practice Address - Fax:763-545-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331121251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health