Arriva Medical, LLC

Debarred entity

United States. Named in 4 sanctions listings.

Summary

License number: PROMISe #102493961

Sanctions and listings4

Effective
6 Oct 2016
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
4 Oct 2018
Official designation
Louisiana Department of HealthUS Louisiana Department of Health Adverse Actions ListUnited States
42 CFR 455.416
adverseactions.ldh.la.gov
Effective
6 Oct 2016
Official designation
MedicaidUS Delaware Medicaid Sanctioned ProvidersUnited States
REVOCATION Inactive-Billing privileges revoked; TERMINATED IN MULTIPLE STATES; MANAGED CARE REPORTING ONLY ACTIVE IN DMES
medicaid.dhss.delaware.gov
Effective
8 Jul 2019
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesTerminated for cause
scdhhs.gov

Identifiers3

Identifier	Number
ID number	1313609 (FL)
NPI number	1023285723
Tax number	262193963

Other names1

Also known as1

Arriva Medical LLC

Addresses2

(FL), (FL)
Coral Springs, FL 33065

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