Organization Active NPI

Viva Health Administration, L.L.C.

  • Case Management Agency
  • Birmingham, AL
National Provider Identifier
1629184189
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
AL 1490 Issued in AL
Legal business name
VIVA HEALTH ADMINISTRATION, L.L.C.
Practice address
417 20TH St N
Suite 1100
Birmingham, AL 35203-3203
Phone
(205) 558-7587
Fax
(205) 558-7456
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Mr. Brad Rollow
Title
Chief Executive Officer (Ceo)
Phone
(205) 558-7401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AL 1490 AL Primary

Addresses

Primary practice location

417 20TH St N
Suite 1100
Birmingham, AL 35203-3203

Mailing address

3704 Spring Valley Rd
Birmingham, AL 35223-1526
Phone (205) 558-7401

Other identifiers 1

IdentifierTypeStateIssuer
580500003MedicaidAL

Other names 1

  • VIVA Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Viva Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1629184189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 SPRING VALLEY RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352231526",
            "telephone_number": "205-558-7401",
            "fax_number": "205-558-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 20TH ST N",
            "address_2": "SUITE 1100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352033203",
            "telephone_number": "205-558-7587",
            "fax_number": "205-558-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA HEALTH ADMINISTRATION, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "ROLLOW",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "205-558-7401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AL",
            "license": "AL 1490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580500003",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVA Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.