MEDICARE: AVIVA HOME HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1649068503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVIVA HOME HEALTH INC

Provider Business Mailing Address
First Line	:	5530 CORBIN AVE STE 325A
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-6037
Country	:	US
Telephone Number	:	818-627-0017
Fax Number	:	818-627-0018

Provider Business Practice Location Address
First Line	:	5530 CORBIN AVE STE 325A
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-6037
Country	:	US
Telephone Number	:	818-627-0017
Fax Number	:	818-627-0018

Authorized Official
Title or Position	:	CEO
Name	:	ARAKSYA RAFAYELYAN
Credential	:
Telephone Number	:	818-627-0017

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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