MEDICARE: AVIARA HEALTH SERVICES 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1699198184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVIARA HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	9877 E PINE VALLEY RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-3822
Country	:	US
Telephone Number	:	630-788-5104
Fax Number	:

Provider Business Practice Location Address
First Line	:	14362 N FRANK LLOYD WRIGHT BLVD
Second Line	:	SUITE 2133
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-8846
Country	:	US
Telephone Number	:	480-477-7799
Fax Number	:	888-966-0559

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANZ LAPAZ
Credential	:
Telephone Number	:	630-788-5104

Provider Enumeration Date	:	02/04/2014
Last Update Date	:	03/11/2014

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Directions to “AVIARA HEALTH SERVICES LLC ” Practice Location

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