Provider Demographics
NPI:1811752298
Name:AAKAM PATH LLC
Entity type:Organization
Organization Name:AAKAM PATH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SINDHU
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIVOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-301-4730
Mailing Address - Street 1:1600 VILLAGE DR APT 1436
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-5678
Mailing Address - Country:US
Mailing Address - Phone:616-301-4730
Mailing Address - Fax:
Practice Address - Street 1:1600 VILLAGE DR APT 1436
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-5678
Practice Address - Country:US
Practice Address - Phone:616-301-4730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care