Healthcare Provider Details

I. General information

NPI: 1801583851
Provider Name (Legal Business Name): AZONA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 GROVE ST STE 204
WORCESTER MA
01605-3905
US

IV. Provider business mailing address

287 GROVE ST STE 204
WORCESTER MA
01605-3905
US

V. Phone/Fax

Practice location:
  • Phone: 508-252-0152
  • Fax: 844-252-3196
Mailing address:
  • Phone: 508-252-0152
  • Fax: 844-252-3196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KWABENA BOAKYE
Title or Position: MANAGER
Credential: PHARMD, RPH
Phone: 508-252-0152