Provider Demographics
NPI:1508468166
Name:ARIETELLA HEALTHCARE LLC
Entity Type:Organization
Organization Name:ARIETELLA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NDOHNWI
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-293-3984
Mailing Address - Street 1:7405 RIVER PARK DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5696
Mailing Address - Country:US
Mailing Address - Phone:704-293-3984
Mailing Address - Fax:
Practice Address - Street 1:7405 RIVER PARK DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5696
Practice Address - Country:US
Practice Address - Phone:704-293-3984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty