MEDICARE: VIVA HOME HEALTH CARE INC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225330848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVA HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	1412 W WATERS AVE
Second Line	:	SUITE 206
City	:	TAMPA
State	:	FL
Zip	:	33604-2802
Country	:	US
Telephone Number	:	813-930-8482
Fax Number	:	813-930-8483

Provider Business Practice Location Address
First Line	:	1412 W WATERS AVE
Second Line	:	SUITE 206
City	:	TAMPA
State	:	FL
Zip	:	33604-2802
Country	:	US
Telephone Number	:	813-930-8482
Fax Number	:	813-930-8483

Authorized Official
Title or Position	:	CEO
Name	:	DR. JAYANT PATEL
Credential	:	M.D.
Telephone Number	:	813-930-8482

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	11/15/2011

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Directions to “VIVA HOME HEALTH CARE INC ” Practice Location

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