Provider Demographics
NPI:1033833116
Name:ADONAI HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:ADONAI HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FOLASHADE
Authorized Official - Middle Name:B
Authorized Official - Last Name:OLASIMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-521-7004
Mailing Address - Street 1:9199 REISTERSTOWN RD STE 216C
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4577
Mailing Address - Country:US
Mailing Address - Phone:410-521-7004
Mailing Address - Fax:443-272-7805
Practice Address - Street 1:9199 REISTERSTOWN RD STE 216C
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4577
Practice Address - Country:US
Practice Address - Phone:410-521-7004
Practice Address - Fax:443-272-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities