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NPI Code Detail

MEDICARE: AVIATOR HOME HEALTH LLC

MEDICARE: AVIATOR HOME HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1134568595
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVIATOR HOME HEALTH LLC
Provider Business Mailing Address
First Line : 9500 RAY WHITE RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9105
Country : US
Telephone Number : 972-548-2163
Fax Number : 972-347-6306
Provider Business Practice Location Address
First Line : 9500 RAY WHITE RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9105
Country : US
Telephone Number : 972-548-2163
Fax Number : 972-347-6306
Authorized Official
Title or Position : ACCOUNTS AND OPERATIONS SENIOR EXEC
Name : CARL HAAS
Credential :
Telephone Number : 972-548-2163
Provider Enumeration Date : 06/19/2013
Last Update Date : 04/25/2023

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Directions to “AVIATOR HOME HEALTH LLC ” Practice Location

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