Provider Demographics
NPI:1366496556
Name:ARIA HEALTH
Entity Type:Organization
Organization Name:ARIA HEALTH
Other - Org Name:PROFESSIONAL HOME HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:REINHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-676-7393
Mailing Address - Street 1:9501 ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1025
Mailing Address - Country:US
Mailing Address - Phone:215-676-7393
Mailing Address - Fax:215-676-1935
Practice Address - Street 1:9501 ROOSEVELT BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1025
Practice Address - Country:US
Practice Address - Phone:215-676-7393
Practice Address - Fax:215-676-1935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA726505251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007705250006Medicaid
PA09582OtherHEALTH PARTNERS
PA2984131OtherAETNA
PA0009460000OtherKHPE
PA9460OtherIBC
PA2984131OtherAETNA