Provider Demographics
NPI:1790249431
Name:ORIANA HOUSE, INC.
Entity Type:Organization
Organization Name:ORIANA HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER-REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:VIDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRIPODO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:330-535-8116
Mailing Address - Street 1:885 E BUCHTEL AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27750 STATE ROUTE 7
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-5147
Practice Address - Country:US
Practice Address - Phone:330-535-8116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2876580Medicaid