Provider Demographics
NPI:1366274730
Name:AURIELLE CARE LLC
Entity type:Organization
Organization Name:AURIELLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAGHAVENDRA SUMANTH
Authorized Official - Middle Name:
Authorized Official - Last Name:PUDUPAKAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-720-3893
Mailing Address - Street 1:39737 PASEO PADRE PKWY STE A2
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2957
Mailing Address - Country:US
Mailing Address - Phone:510-954-6424
Mailing Address - Fax:
Practice Address - Street 1:39737 PASEO PADRE PKWY STE A2
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2957
Practice Address - Country:US
Practice Address - Phone:510-954-6424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care