=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306492095
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIA HOME HEALTH CARE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2019
-----------------------------------------------------
Last Update Date | 08/17/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 SEAHAWK CIR STE 146
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23452-7856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-449-4885
-----------------------------------------------------
Fax | 757-961-5253
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 61392
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23466-1392
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-449-4885
-----------------------------------------------------
Fax | 757-961-5253
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MARIA G NANKIL
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 757-449-4885
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------