MEDICARE: ARIA 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	:	1306492095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIA HOME HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	PO BOX 61392
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23466-1392
Country	:	US
Telephone Number	:	757-449-4885
Fax Number	:	757-961-5253

Provider Business Practice Location Address
First Line	:	800 SEAHAWK CIR STE 146
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7856
Country	:	US
Telephone Number	:	757-449-4885
Fax Number	:	757-961-5253

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIA G NANKIL
Credential	:	RN
Telephone Number	:	757-449-4885

Provider Enumeration Date	:	08/17/2019
Last Update Date	:	08/17/2019

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