Healthcare Provider Details

I. General information

NPI: 1386579738
Provider Name (Legal Business Name): WARMEST OF WELCOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5619 BERRY VINE DR
WAKE FOREST NC
27587-2006
US

IV. Provider business mailing address

1430 HARVEST LN
TRACY CA
95376-4449
US

V. Phone/Fax

Practice location:
  • Phone: 919-523-2272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: STORIA AZAMY
Title or Position: PRESIDENT
Credential:
Phone: 919-523-2272