MEDICARE: AVIVA SPRINGS 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	:	1699625715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVIVA SPRINGS LLC

Provider Business Mailing Address
First Line	:	560 W BROWN RD STE 3001
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-3225
Country	:	US
Telephone Number	:	623-223-0302
Fax Number	:	928-800-0902

Provider Business Practice Location Address
First Line	:	560 W BROWN RD STE 3001
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-3225
Country	:	US
Telephone Number	:	623-223-0302
Fax Number	:	928-800-0902

Authorized Official
Title or Position	:	BUSINESS OWNER & CEO
Name	:	ASHRAF ABDELRAZIG
Credential	:
Telephone Number	:	623-223-0302

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/30/2026

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Directions to “AVIVA SPRINGS LLC ” Practice Location

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