MEDICARE: AZALEA HOME CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730061904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZALEA HOME CARE, INC

Provider Business Mailing Address
First Line	:	3545 CRUSE RD STE 309F
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-3162
Country	:	US
Telephone Number	:	770-491-7122
Fax Number	:

Provider Business Practice Location Address
First Line	:	3545 CRUSE RD STE 309F3545
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30044-3170
Country	:	US
Telephone Number	:	770-491-7122
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	ANISH PATEL
Credential	:
Telephone Number	:	770-846-8496

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	07/21/2025

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Directions to “AZALEA HOME CARE, INC ” Practice Location

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