Azd Derby, LLC
NPI 1174120539ActiveOrganization· Skilled Nursing Facility· Derby, KS
Skilled Nursing Facility in Derby, Kansas, registered in NPPES in October 2020. The authorized official on file is Noah Kaminer, Manager.
Overview
| NPI | 1174120539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2020 |
| Last updated in NPPES | Oct 7, 2020 |
| Certified by provider | Oct 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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