Provider Demographics
NPI:1194157594
Name:AVIVA HOME HEALTH INCORPORATED
Entity type:Organization
Organization Name:AVIVA HOME HEALTH INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:EKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-955-8670
Mailing Address - Street 1:2550 RYAN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5883
Mailing Address - Country:US
Mailing Address - Phone:979-353-1240
Mailing Address - Fax:979-383-2210
Practice Address - Street 1:2550 RYAN ST
Practice Address - Street 2:SUITE B
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5883
Practice Address - Country:US
Practice Address - Phone:979-353-1240
Practice Address - Fax:979-383-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health