Azalea Place Operating Company

LBN: Azalea Place Operating Company
Azalea Place Operating Company is an health care organization with primary practice located at 810 S Porter Ave , Tyler TX 75701-2300. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Azalea Place Operating Company can be contacted via phone (903) 593-2463, or through Hunter, Kimberly Ann via phone (903) 593-2463.

Contact Information

Primary practice address
810 S Porter Ave Tyler TX 75701-2300
Fax: (903) 597-1203
Website:
Authorized official contact:
Name: Hunter, Kimberly Ann

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 4734 Texas

Profile Details

NPI number 1477694545
LBN Legal business name Azalea Place Operating Company
DBA Doing business as
Authorized official Hunter, Kimberly Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477694545 NPPES
Texas Other 4734 VENDOR ID#

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