Provider Demographics
NPI:1588146963
Name:NIAGARA HEALTH LLC
Entity type:Organization
Organization Name:NIAGARA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-250-6432
Mailing Address - Street 1:200 S VIRGINIA ST FL 8
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2403
Mailing Address - Country:US
Mailing Address - Phone:888-250-6432
Mailing Address - Fax:
Practice Address - Street 1:200 S VIRGINIA ST FL 8
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2403
Practice Address - Country:US
Practice Address - Phone:888-250-6432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies