Avivo is a Community/behavioral Health in Minneapolis, Minnesota. Avivo practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Avivo is 1548315880. The last update date is 2023-12-07.
Avivo's current location address is 1825 Chicago Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6127528200 and fax number 6127528201. The mailing address for Avivo is 1825 Chicago Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avivo |
|---|---|
| Address | 1825 Chicago Ave, Minneapolis, Minnesota |
| Phone Number | 6127528200 |
| Fax Number | 6127528201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Matter Kelly |
| Telephone Number | 6127528204 |
NPI Number Detail
| NPI Number | 1548315880 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 1825 Chicago Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554041939 |
| Phone Number | 6127528200 |
| Fax Number | 6127528201 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 135355100 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Avivo?
The Avivo has been issued the NPI (National Provider Identifier) 1548315880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Avivo is physically located?
The Avivo is situated at the following address: 1825 Chicago Ave, Minneapolis, MN 554041939.
What is the Avivo's specialty and taxonomy code?
The Avivo's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548315880 to Avivo?
The Centers for Medicare & Medicaid Services originally issued the 1548315880 to Avivo on 2007-01-25.
When was the Avivo's information last updated?
The Avivo's information was last updated on 2023-12-07.
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