Provider Demographics
NPI:1346055951
Name:AZURE HOME CARE LLC
Entity type:Organization
Organization Name:AZURE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:CLEASHAY
Authorized Official - Last Name:OUTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-440-2808
Mailing Address - Street 1:6540 IRON HORSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6014
Mailing Address - Country:US
Mailing Address - Phone:239-440-2808
Mailing Address - Fax:
Practice Address - Street 1:8376 DAVIS BLVD STE 126
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-8950
Practice Address - Country:US
Practice Address - Phone:682-431-8010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care