Provider Demographics
NPI:1407395510
Name:AZALEE'S IN HOME CARE LLC
Entity Type:Organization
Organization Name:AZALEE'S IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHESSIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-888-0816
Mailing Address - Street 1:11809 W 99TH ST
Mailing Address - Street 2:B
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-2428
Mailing Address - Country:US
Mailing Address - Phone:816-888-0816
Mailing Address - Fax:
Practice Address - Street 1:11809 W 99TH ST
Practice Address - Street 2:B
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-2428
Practice Address - Country:US
Practice Address - Phone:816-888-0816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health