MEDICARE: AZARIAH COMPASSIONATE CARE LLC

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

General Provider Information

NPI Number	:	1932043825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZARIAH COMPASSIONATE CARE LLC

Provider Business Mailing Address
First Line	:	5663 GREENLAND RD UNIT 2007
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-3350
Country	:	US
Telephone Number	:	904-294-6419
Fax Number	:

Provider Business Practice Location Address
First Line	:	5663 GREENLAND RD UNIT 2007
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-3350
Country	:	US
Telephone Number	:	904-294-6419
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHY DENNIS
Credential	:	RN
Telephone Number	:	904-294-5419

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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