Provider Demographics
NPI:1588196794
Name:ARRIS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ARRIS HEALTH SERVICES LLC
Other - Org Name:ALH HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SOON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-540-1249
Mailing Address - Street 1:27101 PUERTA REAL
Mailing Address - Street 2:SUITE 450
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8518
Mailing Address - Country:US
Mailing Address - Phone:949-487-9500
Mailing Address - Fax:949-487-9400
Practice Address - Street 1:4002 TACOMA MALL BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-7702
Practice Address - Country:US
Practice Address - Phone:949-735-7785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA604129758OtherUBI