Provider Demographics
NPI:1851054159
Name:AZURE KIDS LLC
Entity Type:Organization
Organization Name:AZURE KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-515-0508
Mailing Address - Street 1:5321 CANFIELD LN
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4103
Mailing Address - Country:US
Mailing Address - Phone:469-835-0587
Mailing Address - Fax:972-730-9430
Practice Address - Street 1:5321 CANFIELD LN
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4103
Practice Address - Country:US
Practice Address - Phone:469-835-0587
Practice Address - Fax:972-730-9430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health