Aviva Home Health LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

AVIVA HOME HEALTH LLC

Practice address

91 S Main St Ste B
Snowflake, AZ 85937-5285

Phone

(928) 243-3094

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandon Johnson

Title

Owner

Phone

(928) 243-6623

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1396454302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 S MAIN ST STE B",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375285",
            "telephone_number": "928-243-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 S MAIN ST STE B",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375285",
            "telephone_number": "928-243-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-243-6623"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.