Provider Demographics
NPI:1003083098
Name:ADAPTIVE HOME CARE INC.
Entity Type:Organization
Organization Name:ADAPTIVE HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:KIZZEE
Authorized Official - Suffix:
Authorized Official - Credentials:HOME PROVIDER
Authorized Official - Phone:281-431-6780
Mailing Address - Street 1:PO BOX 769
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-0769
Mailing Address - Country:US
Mailing Address - Phone:281-431-6780
Mailing Address - Fax:281-431-8188
Practice Address - Street 1:4407 PRISTINE DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-9508
Practice Address - Country:US
Practice Address - Phone:281-431-6780
Practice Address - Fax:281-431-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010649251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health