AVIVA HEALTH CARE SERVICES INC (NPI# 1891307070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891307070 |
| Entity Type | Organization |
| Organization Name | AVIVA HEALTH CARE SERVICES INC |
| Practice Address |
6 Denny Rd Ste 104 Wilmington DE 19809-3444 |
| Mailing Address |
320 Macdade Blvd Ste 205 Collingdale PA 19023-1926 |
| Practice Telephone | 6105224506 |
| Practice Fax Number | 6105224508 |
| Mailing Telephone | 6105224506 |
| Mailing Fax Number | 6105224508 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | MRS. SUSMARIA CHARLES (CEO) |
| Authorized Official Telephone | 6105224506 |
| Authorized Official Credential | MHS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1034994870001 | 05 |
| Street Address |
6 DENNY RD STE 104 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19809-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881199693 | Raquel Ilanit Huerta | Counselor | 2100 Haven Rd, Apt C, Wilmington, DE 19809 | 2018-03-26 |
| 1548760960 | Phoenix Center for Health and Wellness LLC | Clinic/Center | 222 Philadelphia Pike Ste 12, Wilmington, DE 19809 | 2018-02-13 |
| 1659882850 | Mackenzie Chrisco | Physical Therapist | 606 Greenfield Pl, Wilmington, DE 19809 | 2017-10-16 |
| 1588173207 | Tracy Marie Washington | Social Worker | 221 Philadelphia Pike, Suite 4, Wilmington, DE 19809 | 2017-09-26 |
| 1053766907 | Jacqueline Galya | Occupational Therapist | 510 Duncan Road, Wilmington, DE 19809 | 2016-04-28 |
| 1205290566 | Kathleen Welsh | Behavioral Analyst | 210 Bellefonte, Wilmington, DE 19809 | 2016-04-12 |
| 1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
| 1831457415 | Faye Catherine Dube | Counselor | 501 Silverside Road, Suite 50, Wilmington, DE 19809 | 2012-05-02 |
| 1972876977 | Iris Drane | Counselor | 314 Brandywine Blvd., Wilmington, DE 19809 | 2012-02-22 |
| 1821315110 | Mary Lauren Lewis Janusz | Occupational Therapist | 800 Carr Road, Wilmington, DE 19809 | 2010-04-26 |
| Find all providers in zip 19809 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204297 | Healing Adults & Adolescents Residential Treatment Program LLC | Clinic/Center | 100 Stroud St, Wilmington, DE 19805-4842 | 2020-04-24 |
| 1750926465 | Gwen Borcyk, Msw, Lcsw, Pllc | Clinic/Center | 313 Walnut St Ste 106, Wilmington, NC 28401-4063 | 2019-11-18 |
| 1780231878 | Fortitude Psychological Services, Inc. | Clinic/Center | 4900 Randall Pkwy Ste D, Wilmington, NC 28403-2831 | 2019-08-22 |
| 1982117669 | Sound Psychologial Services, Pa | Clinic/Center | 3317 Masonboro Loop Rd Unit 160, Wilmington, NC 28409-2970 | 2017-11-16 |
| 1962859496 | Your Center, LLC | Clinic/Center | 222 Philadelphia Pike Ste 4, Wilmington, DE 19809-3166 | 2016-05-13 |
| 1720408586 | Merakey Allos | Clinic/Center | 101 Rogers Rd, Wilmington, DE 19801-5778 | 2014-04-21 |
| 1598185670 | Merakey Allos | Clinic/Center | 5574 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2014-04-16 |
| 1275972333 | Merakey Allos | Clinic/Center | 5572 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2013-06-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1659676617 | Andrew W Donohue Do | Clinic/Center | 34 Harlech Dr, Wilmington, DE 19807-2508 | 2011-01-21 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19809 |
Please comment or provide details below to improve the information on AVIVA HEALTH CARE SERVICES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.