ALIVIANE INC. NPI 1679894422

NPI Information

NPI: 1679894422
Provider Name: ALIVIANE, INC.

Other Name: MEN'S RESIDENTIAL

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
10690 SOCORRO RD
EL PASO, TX
ZIP 79927
Phone: (915) 858-6208
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ALIVIANE, INC. is a rehabilitation and substance use disorder clinic center in El Paso, TX. ALIVIANE, INC. NPI is 1679894422. The provider is registered as an organization entity type.
The provider Other Name Is Men's Residential.

The provider's business location address is:

10690 SOCORRO RD
EL PASO, TX
ZIP 79927-332
Phone: (915) 858-6208
Fax: (915) 858-0435

The provider's authorized official is Ivonne Tapia .
The authorized official title is Ceo and has the following contact phone number (915) 782-4000.

The enumeration date for this NPI number is 6/16/2010 and was last updated on 12/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	402B	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	402B	OTHER	TEXAS	TEXAS DEPARTMENT OF STATE HEALTH SERVICES
2	216276001	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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