Provider Demographics
NPI: | 1619630902 |
---|---|
Name: | AESTHETICS RECOVERY INTERVENTIONS, LLC |
Entity Type: | Organization |
Organization Name: | AESTHETICS RECOVERY INTERVENTIONS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | AURIELE |
Authorized Official - Middle Name: | KRISTINE |
Authorized Official - Last Name: | VANBUREN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | REGISTERED NURSE |
Authorized Official - Phone: | 334-303-0437 |
Mailing Address - Street 1: | 318 ADLER DR |
Mailing Address - Street 2: | |
Mailing Address - City: | MONTGOMERY |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 36116-3712 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 334-303-0437 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 318 ADLER DR |
Practice Address - Street 2: | |
Practice Address - City: | MONTGOMERY |
Practice Address - State: | AL |
Practice Address - Zip Code: | 36116-3712 |
Practice Address - Country: | US |
Practice Address - Phone: | 334-303-0437 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-10-14 |
Last Update Date: | 2021-10-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 163WC1500X | Nursing Service Providers | Registered Nurse | Community Health | Group - Multi-Specialty |
No | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health | Group - Multi-Specialty |
No | 163WI0600X | Nursing Service Providers | Registered Nurse | Infection Control | Group - Multi-Specialty |
No | 163WM1400X | Nursing Service Providers | Registered Nurse | Nurse Massage Therapist (NMT) | Group - Multi-Specialty |
No | 163WN1003X | Nursing Service Providers | Registered Nurse | Nutrition Support | Group - Multi-Specialty |
No | 163WP2201X | Nursing Service Providers | Registered Nurse | Ambulatory Care | Group - Multi-Specialty |
No | 163WR0400X | Nursing Service Providers | Registered Nurse | Rehabilitation | Group - Multi-Specialty |
No | 163WS0121X | Nursing Service Providers | Registered Nurse | Plastic Surgery | Group - Multi-Specialty |
No | 163WW0000X | Nursing Service Providers | Registered Nurse | Wound Care | Group - Multi-Specialty |
No | 163WW0101X | Nursing Service Providers | Registered Nurse | Women's Health Care, Ambulatory | Group - Multi-Specialty |
No | 163WX1500X | Nursing Service Providers | Registered Nurse | Ostomy Care | Group - Multi-Specialty |
No | 372600000X | Nursing Service Related Providers | Adult Companion | Group - Multi-Specialty | |
No | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
No | 376K00000X | Nursing Service Related Providers | Nurse's Aide | Group - Multi-Specialty |