Provider Demographics
NPI:1669847372
Name:ANIVA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ANIVA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-315-5037
Mailing Address - Street 1:321 NORTHLAKE BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408
Mailing Address - Country:US
Mailing Address - Phone:561-315-5037
Mailing Address - Fax:
Practice Address - Street 1:2101 NW 33RD ST
Practice Address - Street 2:SUITE 2900A
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-1068
Practice Address - Country:US
Practice Address - Phone:561-315-5037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health