Provider Demographics
NPI:1770128415
Name:ARIVA HOME HEALTH CARE
Entity type:Organization
Organization Name:ARIVA HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:773-882-0104
Mailing Address - Street 1:2551 N NEVA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60707-2166
Mailing Address - Country:US
Mailing Address - Phone:773-882-0104
Mailing Address - Fax:
Practice Address - Street 1:2551 N NEVA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60707-2166
Practice Address - Country:US
Practice Address - Phone:773-882-0104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIVA HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health