Provider Demographics
NPI:1366277345
Name:AVIARA HEALTHCARE INC.
Entity type:Organization
Organization Name:AVIARA HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:
Authorized Official - Last Name:JIWUAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-200-9501
Mailing Address - Street 1:18418 KILBOWIE PL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5048
Mailing Address - Country:US
Mailing Address - Phone:346-200-9501
Mailing Address - Fax:
Practice Address - Street 1:18418 KILBOWIE PL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5048
Practice Address - Country:US
Practice Address - Phone:346-200-9501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care