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 1629122924. The last update date is 2023-12-07.
Avivo's current location address is 1900 Chicago Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6127528000 and fax number 6127528001. The mailing address for Avivo is 1900 Chicago Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avivo |
|---|---|
| Address | 1900 Chicago Ave, Minneapolis, Minnesota |
| Phone Number | 6127528000 |
| Fax Number | 6127528001 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Matter Kelly |
| Telephone Number | 6127528052 |
NPI Number Detail
| NPI Number | 1629122924 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 1900 Chicago Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554041903 |
| Phone Number | 6127528000 |
| Fax Number | 6127528001 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 801609-2-CDT |
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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 |
|---|---|---|---|
| 859255100 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Avivo?
The Avivo has been issued the NPI (National Provider Identifier) 1629122924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Avivo?
The Avivo is physically situated at 1900 Chicago Ave, in the city of Minneapolis, state of MN, with the postal code 554041903.
What is Avivo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Avivo is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Avivo receive the assignment of its 1629122924 from the Centers for Medicare & Medicaid Services?
The Avivo was issued its 1629122924 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the information regarding Avivo most recently updated?
The details pertaining to the Avivo, including its address, specialty, and other relevant information, were last refreshed on 2023-12-07.