Provider Demographics
NPI:1831718048
Name:AZM HOME CARE LLC
Entity type:Organization
Organization Name:AZM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIOLET
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-760-4547
Mailing Address - Street 1:3610 SMITH BARRY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3840
Mailing Address - Country:US
Mailing Address - Phone:512-760-4547
Mailing Address - Fax:214-722-2192
Practice Address - Street 1:408 N FIELDER RD APT 98
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3840
Practice Address - Country:US
Practice Address - Phone:512-760-4547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care