=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841535572
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIS HOME HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2012
-----------------------------------------------------
Last Update Date | 12/06/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3201 N WILKE RD
-----------------------------------------------------
City | ARLINGTON HEIGHTS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60004-1437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-242-8202
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3201 N WILKE RD
-----------------------------------------------------
City | ARLINGTON HEIGHTS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60004-1437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-242-8202
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MS. ELENA ROM
-----------------------------------------------------
Credential | R.N.
-----------------------------------------------------
Telephone | 847-242-8202
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1011487
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------