AZALEA GARDEN (NPI# 1194150417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194150417 |
| Entity Type | Organization |
| Organization Name | AZALEA GARDEN |
| Practice Address |
413 Culvert St Apex NC 27502-1731 |
| Practice Telephone | 9195235767 |
| Mailing Telephone | 9195235767 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | YALONDA COLEMAN (ADMINISTRATIVE) |
| Authorized Official Telephone | 9192088635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | MHL092659 | NC | Residential Treatment Facilities |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL092659 | NC | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Azalea Garden Associates L.C. | 525 S Independence Blvd Ste 200, Virginia Beach, Virginia 23452 |
| Virginia Business Entities | AZALEA GARDEN FLORIST AND COUNTRY CRAFTS INC. | 3175 B Azalea Garden Rd, Norfolk, Virginia 23513 |
| Virginia Business Entities | Azalea Gardens LLC | 1065 Rocky Run Road, Mclean, Virginia 22012 |
| Oregon Corporations, Companies and Business Names | AZALEA GARDENS MOBILE MANOR LLC | 1103 N Springbrook Rd, Newberg, OR 97132 |
| Oregon Corporations, Companies and Business Names | AZALEA GARDENS SENIOR LIVING | 755 Elk Dr, Brookings, OR 97415 |
| Washington State Corporations | AZALEA GARDENS, LLC | 7426 Se 27th St, Suite 100, Mercer Island, WA 98040-2789 |
| Street Address |
413 CULVERT ST |
| City | APEX |
| State | NC |
| Zip Code | 27502-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283507 | Reframe Counseling Services, Pllc | Psychologist | 1140 Savannah Ridge Road, Suites 204-206, Holly Springs, NC 27502 | 2019-03-05 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1437622792 | Abdelbaky, Arbon, & Boes, Pllc | Dentist | 1460 Kelly Rd, Apex, NC 27502 | 2019-01-09 |
| 1245733815 | Sarah S. Barker, Dds, Pllc | Clinic/Center | 1481 Chapel Ridge Road, Suite 250, Apex, NC 27502 | 2018-03-09 |
| 1497257646 | Sogoal Feizi | Chiropractor | 320 N Salem St Ste 102, Apex, NC 27502 | 2018-03-04 |
| 1417492554 | Nc Eye Associates Od Pllc | Optometrist | 1429 Kelly Road, Apex, NC 27502 | 2016-12-28 |
| 1154872646 | Renaissance Dentistry | Dentist | 800 W Williams Street, Suite 240, Apex, NC 27502 | 2016-10-19 |
| 1871049130 | Kathryn Siddle | Pharmacist | Route 940 Us 64, Apex, NC 27502 | 2016-08-28 |
| 1538526744 | Zhen Li | Acupuncturist | 1011 W. Williams St., Suite 104, Apex, NC 27502 | 2016-01-19 |
| 1174909980 | Karen Kleber Williams | Speech-Language Pathologist | 5448 Apex Peakway # 261, Apex, NC 27502 | 2015-08-04 |
| Find all providers in zip 27502 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952659195 | Dutchess II | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1306 Boxwood Ln, Apex, NC 27502-1504 | 2012-08-20 |
| 1841339017 | Kings Group Home for Children, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 109 Evening Star Dr, Apex, NC 27502-4029 | 2007-02-05 |
| 1811283666 | Healthcore Resource, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 109 Evening Star Dr, Apex, NC 27502-4029 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160552 | Residential Option Serving Adolescents, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2316 Carved Tree Ln, Charlotte, NC 28262-3154 | 2020-10-03 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1851913966 | Johnson Enrichment Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 Foxcroft Dr, Winston Salem, NC 27103-5313 | 2020-05-12 |
| 1881230795 | Walter Jason Young Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 412 Rook Rd, Charlotte, NC 28216-3199 | 2019-11-26 |
| 1750935839 | Heavenly Touch Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4720 Baileys Lake Rd Nw Apt 204, Concord, NC 28027-8576 | 2019-07-28 |
| 1073166245 | Making Kids Matter, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 409 Hunton Forest Dr Nw, Concord, NC 28027-0186 | 2019-07-17 |
| 1891357752 | New Hope for Tomorrow LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 528 Baldwin Rd, Burlington, NC 27217-1702 | 2019-07-01 |
| 1114490877 | Brenda Gail Cannon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3105 Vico Ter, Raleigh, NC 27610-5951 | 2019-01-05 |
| 1356813455 | Lamesha Marshall | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3335 Avalon Ave, Charlotte, NC 28208-3378 | 2018-12-31 |
| 1487131074 | Ronald Anthony Benjamin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1594 Candace Ridge Dr, Greensboro, NC 27406-8595 | 2018-07-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.