Provider Demographics
NPI:1972855682
Name:VIVA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:VIVA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-930-8482
Mailing Address - Street 1:1543 LAKELAND HILLS BLVD
Mailing Address - Street 2:STE: 8
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3246
Mailing Address - Country:US
Mailing Address - Phone:800-261-8482
Mailing Address - Fax:866-775-8482
Practice Address - Street 1:1543 LAKELAND HILLS BLVD
Practice Address - Street 2:STE: 8
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-3246
Practice Address - Country:US
Practice Address - Phone:800-261-8482
Practice Address - Fax:866-775-8482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health