Provider Demographics
NPI:1407207954
Name:ACARIAHEALTH SOLUTIONS, INC.
Entity type:Organization
Organization Name:ACARIAHEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-422-2742
Mailing Address - Street 1:8427 SOUTH PARK CIRCLE, BUILDING 300
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-9057
Mailing Address - Country:US
Mailing Address - Phone:855-422-2742
Mailing Address - Fax:
Practice Address - Street 1:6610 W SAM HOUSTON PKWY N STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5183
Practice Address - Country:US
Practice Address - Phone:832-900-1317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACARIAHEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001547333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy