Provider Demographics
NPI:1619056454
Name:AZURE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:AZURE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-821-9858
Mailing Address - Street 1:422 MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:LAKEHILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78063-6791
Mailing Address - Country:US
Mailing Address - Phone:956-821-9858
Mailing Address - Fax:830-751-2226
Practice Address - Street 1:4307 N 10TH ST
Practice Address - Street 2:SUITE F4
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3056
Practice Address - Country:US
Practice Address - Phone:956-821-9858
Practice Address - Fax:956-630-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010012251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health