1730407826 NPI number — ARIA HEALTHCARE

Table of content: (NPI 1730407826)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730407826 NPI number — ARIA HEALTHCARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARIA HEALTHCARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730407826
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 PRESSLEY RD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28217-0981
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-608-1548
Provider Business Mailing Address Fax Number:
704-936-5799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15275 COLLIER BLVD
Provider Second Line Business Practice Location Address:
SUITE 201-323
Provider Business Practice Location Address City Name:
NAPLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34119-6750
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-608-1548
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCLAIN
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
JUDGE
Authorized Official Title or Position:
AGENCY DIRECTOR
Authorized Official Telephone Number:
336-608-1548

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)