Provider Demographics
NPI:1174329049
Name:AZIZAS RESIDENTIAL CARE LLC
Entity type:Organization
Organization Name:AZIZAS RESIDENTIAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NEEWILLI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-702-8660
Mailing Address - Street 1:7802 CUB CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:HORACE
Mailing Address - State:ND
Mailing Address - Zip Code:58047-5525
Mailing Address - Country:US
Mailing Address - Phone:267-702-8660
Mailing Address - Fax:
Practice Address - Street 1:7802 CUB CREEK WAY
Practice Address - Street 2:
Practice Address - City:HORACE
Practice Address - State:ND
Practice Address - Zip Code:58047-5525
Practice Address - Country:US
Practice Address - Phone:267-702-8660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health