Provider Demographics
NPI:1174060404
Name:AZOR CARE AT HOME INC
Entity type:Organization
Organization Name:AZOR CARE AT HOME INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-632-2804
Mailing Address - Street 1:60 WILLOW DR
Mailing Address - Street 2:ATTENTION: CHRISTINA VILLANUEVA - CFO
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1256
Mailing Address - Country:US
Mailing Address - Phone:914-632-2804
Mailing Address - Fax:914-355-3905
Practice Address - Street 1:60 WILLOW DR
Practice Address - Street 2:ATTENTION: CHRISTINA VILLANUEVA - CFO
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1256
Practice Address - Country:US
Practice Address - Phone:914-632-2804
Practice Address - Fax:914-355-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health