Healthcare Provider Details

I. General information

NPI: 1699625715
Provider Name (Legal Business Name): AVIVA SPRINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W BROWN RD STE 3001
MESA AZ
85201-3225
US

IV. Provider business mailing address

560 W BROWN RD STE 3001
MESA AZ
85201-3225
US

V. Phone/Fax

Practice location:
  • Phone: 623-223-0302
  • Fax: 928-800-0902
Mailing address:
  • Phone: 623-223-0302
  • Fax: 928-800-0902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASHRAF ABDELRAZIG
Title or Position: BUSINESS OWNER & CEO
Credential:
Phone: 623-223-0302