Azd Derby, LLC

Skilled Nursing Facility · Derby, KS

Organization Active NPI

NPI number 1174120539

Practice location

445 N Westview Dr
Derby, KS 67037-2228
Phone
(316) 788-3739

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NPI record

NPI
1174120539
Entity type
Organization (Type 2)
Enumeration date
October 7, 2020
Last updated
October 7, 2020
Certified
October 7, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

702 S Highway 6
Gretna, NE 68028-7970

Authorized official

Name
Noah Kaminer
Title
Manager
Phone
(316) 788-3739

About Azd Derby, LLC

Azd Derby, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 445 N Westview Dr, Derby, KS 67037-2228. The NPI number 1174120539 was assigned on October 7, 2020 and the record was last updated on October 7, 2020.

The authorized official for this organization is Noah Kaminer, Manager.

Frequently asked questions

What is the NPI number of Azd Derby, LLC?

The NPI number is 1174120539.

What is the phone number of Azd Derby, LLC?

The phone number listed for the practice location is (316) 788-3739.

Where is Azd Derby, LLC located?

445 N Westview Dr, Derby, KS 67037-2228.

What is the taxonomy code for Azd Derby, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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