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AZAREL COMMUNITY SUPPORT LLC NPI 1386288041


NPI Information

NPI: 1386288041
Provider Name: AZAREL COMMUNITY SUPPORT, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
112 BRANDON RD
RICHMOND, VA
ZIP 23224
Phone: (804) 928-3054
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AZAREL COMMUNITY SUPPORT, LLC is a day training developmentally disabled services in Richmond, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. AZAREL COMMUNITY SUPPORT, LLC NPI is 1386288041. The provider is registered as an organization entity type.

The provider's business location address is:

112 BRANDON RD
RICHMOND, VA
ZIP 23224-212
Phone: (804) 928-3054
Fax: (804) 231-6129

The provider's authorized official is Tacola Whiting .
The authorized official title is Owner and has the following contact phone number (804) 928-3054.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 11/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12920OTHERVIRGINIAVIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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