Provider Demographics
NPI:1780476275
Name:LAVIDA HEALTH INC
Entity type:Organization
Organization Name:LAVIDA HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE HAZEL
Authorized Official - Middle Name:WANJIKU
Authorized Official - Last Name:MUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-216-0408
Mailing Address - Street 1:5910 COURTYARD DR STE 255
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3334
Mailing Address - Country:US
Mailing Address - Phone:512-575-2894
Mailing Address - Fax:512-575-2891
Practice Address - Street 1:5910 COURTYARD DR STE 255
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3334
Practice Address - Country:US
Practice Address - Phone:512-575-2894
Practice Address - Fax:512-575-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health