Healthcare Provider Details

I. General information

NPI: 1235679713
Provider Name (Legal Business Name): ARYA HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2017
Last Update Date: 05/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 E CONESTOGA RD SUITE 204
WAYNE PA
19087-2508
US

IV. Provider business mailing address

351 E CONESTOGA RD SUITE 204
WAYNE PA
19087-2508
US

V. Phone/Fax

Practice location:
  • Phone: 610-254-0600
  • Fax:
Mailing address:
  • Phone: 610-254-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number06580501
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number06580501
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number06580501
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. GREG HOISINGTON
Title or Position: DIRECTOR OF OPERATIONS
Credential: MBA
Phone: 610-254-0600