MEDICARE: AARRIS HEALTHCARE STAFFING, 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1558028597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARRIS HEALTHCARE STAFFING, LLC

Provider Business Mailing Address
First Line	:	3002 MIDVALE AVE STE 210
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-3418
Country	:	US
Telephone Number	:	310-424-5589
Fax Number	:	888-614-2814

Provider Business Practice Location Address
First Line	:	3002 MIDVALE AVE STE 210
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-3418
Country	:	US
Telephone Number	:	310-424-5589
Fax Number	:	888-614-2814

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	LEE REINIS
Credential	:	MHA
Telephone Number	:	310-424-5589

Provider Enumeration Date	:	11/24/2021
Last Update Date	:	11/24/2021

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