Provider Demographics
NPI:1841758976
Name:ARRIVIA HEALTHCARE LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:ARRIVIA HEALTHCARE LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IFEDIORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-788-3331
Mailing Address - Street 1:15006 SUGAR SANDS DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-5037
Mailing Address - Country:US
Mailing Address - Phone:832-788-3331
Mailing Address - Fax:
Practice Address - Street 1:15006 SUGAR SANDS DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-5037
Practice Address - Country:US
Practice Address - Phone:832-788-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health