Provider Demographics
NPI:1356676191
Name:ARISTO HOME HEALTHCARE AGENCY, INC
Entity Type:Organization
Organization Name:ARISTO HOME HEALTHCARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:OPALEYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-710-0699
Mailing Address - Street 1:1704 N HAMPTON RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8623
Mailing Address - Country:US
Mailing Address - Phone:214-710-0699
Mailing Address - Fax:972-228-9884
Practice Address - Street 1:1704 N HAMPTON RD
Practice Address - Street 2:SUITE 207
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8623
Practice Address - Country:US
Practice Address - Phone:214-710-0699
Practice Address - Fax:972-228-9884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherIRS TAX IDENTIFICATION NUMBER.