Healthcare Provider Details

I. General information

NPI: 1073408167
Provider Name (Legal Business Name): NUVION HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST STE 4672
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

4539 N 22ND ST STE 4672
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 310-500-8283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ROYCE MOORE
Title or Position: OWNER
Credential:
Phone: 310-500-8283