Provider Demographics
NPI:1508681883
Name:ALIVION HEALTH LLC
Entity type:Organization
Organization Name:ALIVION HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDURAHMAN
Authorized Official - Middle Name:HAMZA
Authorized Official - Last Name:ABDURAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-354-1196
Mailing Address - Street 1:8001 33RD AVE S UNIT A608
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4613
Mailing Address - Country:US
Mailing Address - Phone:651-354-1196
Mailing Address - Fax:
Practice Address - Street 1:8001 33RD AVE S UNIT A608
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-4613
Practice Address - Country:US
Practice Address - Phone:651-354-1196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty