AZALEA HEALTH & SKIN TREATMENT CENTER LLC
NPI 1407514532
Clinic/Center in Ashland, KY

Q: What is Azalea Health & Skin Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 06, 2021CLIA 18D2247447 · Waiver

1000 ASHLAND DR STE 303, ASHLAND, KY 41101(606) 467-2360(606) 467-2359 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Azalea Health & Skin Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZALEA HEALTH & SKIN TREATMENT CENTER LLC (NPI 1407514532) is a healthcare organization registered as a clinic/center in Ashland, Kentucky and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Michael Basedow, Owner, as its authorized official.

NPPES Registry Identity

NPI1407514532

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameAZALEA HEALTH & SKIN TREATMENT CENTER LLC

Location Address1000 ASHLAND DR STE 303Ashland, KY 41101-7097

Mailing Address1000 Ashland Dr Ste 303Ashland, KY 41101-7097 · (606) 467-2360 · Fax (606) 467-2359

Phone(606) 467-2360

Fax(606) 467-2359

Organization SubpartNo

Authorized OfficialMichael BasedowOwner · (606) 467-2360

Enumeration DateDecember 6, 2021

NPPES CertifiedDecember 6, 2021

✔ NPI 1407514532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1000 ASHLAND DR STE 303, Ashland, KY 41101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azalea Health & Skin Treatment Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20220112001140Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Azalea Health & Skin Treatment Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Basedow

Family Practice

NPI 1114467867

1000 ASHLAND DR STE 303
Ashland, KY 41101

(606) 467-2360

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2247447

Azalea Health & Skin Treatment Center · Ashland, KY

Active · expires Jan 5, 2028

CLIA Number18D2247447

Laboratory TypePhysician Office

Certificate Effective DateJanuary 6, 2026

Certificate Expiration DateJanuary 5, 2028

Laboratory DirectorDr. Michael W. Basedow

Laboratory Phone(606) 467-2360

Laboratory LocationAzalea Health & Skin Treatment Center1000 Ashland Dr 303, Ashland, KY 41101

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azalea Health & Skin Treatment Center LLC's NPI number?

The NPI number for Azalea Health & Skin Treatment Center LLC is 1407514532. It was assigned to this organization in the NPPES registry on December 6, 2021.

Where is Azalea Health & Skin Treatment Center LLC located?

Azalea Health & Skin Treatment Center LLC is located at 1000 Ashland Dr Ste 303, Ashland, KY 41101. The listed phone number is (606) 467-2360.

What is Azalea Health & Skin Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Azalea Health & Skin Treatment Center LLC enrolled in Medicare?

Yes. Azalea Health & Skin Treatment Center LLC is registered in the Medicare PECOS enrollment system.

When is Azalea Health & Skin Treatment Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Azalea Health & Skin Treatment Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Azalea Health & Skin Treatment Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Azalea Health & Skin Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2247447) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Azalea Health & Skin Treatment Center LLC accept?

Health plans from CareSource list Azalea Health & Skin Treatment Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Azalea Health & Skin Treatment Center LLC was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.