Provider Demographics
NPI:1386908473
Name:ALIVIA CARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:ALIVIA CARE SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PONDER-STANSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-268-5200
Mailing Address - Street 1:4266 SUNBEAM ROAD
Mailing Address - Street 2:ATTN: BONNIE OVERBEY, DIRECTOR OF LEGAL & REGULATORY CO
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257
Mailing Address - Country:US
Mailing Address - Phone:904-407-5050
Mailing Address - Fax:904-407-8123
Practice Address - Street 1:5450 RAMONA BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-4750
Practice Address - Country:US
Practice Address - Phone:904-361-3902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health