Provider Demographics
NPI:1518630045
Name:AZUREPLUS SERVICES, INC.
Entity Type:Organization
Organization Name:AZUREPLUS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WINCHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-931-5810
Mailing Address - Street 1:1551 W 13TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2993
Mailing Address - Country:US
Mailing Address - Phone:909-931-5810
Mailing Address - Fax:909-931-5834
Practice Address - Street 1:1551 W 13TH ST STE 101
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2993
Practice Address - Country:US
Practice Address - Phone:909-931-5810
Practice Address - Fax:909-931-5834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based