Healthcare Provider Details
I. General information
NPI: 1710640560
Provider Name (Legal Business Name): ARI HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/19/2021
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3060 WILLIAMS DR STE 300
FAIRFAX VA
22031-4648
US
IV. Provider business mailing address
3060 WILLIAMS DR STE 300
FAIRFAX VA
22031-4648
US
V. Phone/Fax
- Phone: 917-817-0602
- Fax:
- Phone: 917-817-0602
- Fax: 571-249-1334
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ARIZETTE
MELICIO
Title or Position: OWNER
Credential:
Phone: 917-817-0602