MEDICARE: VIVA 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1831785930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVA HEALTH INC

Provider Business Mailing Address
First Line	:	7444 W WILSON AVE STE 105
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4500
Country	:	US
Telephone Number	:	847-480-8851
Fax Number	:

Provider Business Practice Location Address
First Line	:	7444 W WILSON AVE STE 105
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4500
Country	:	US
Telephone Number	:	847-480-8851
Fax Number	:

Authorized Official
Title or Position	:	AGENCY MANAGER
Name	:	MS. GERI LAUREA
Credential	:
Telephone Number	:	847-480-8851

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	12/14/2020

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Directions to “VIVA HEALTH INC ” Practice Location

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