Provider Demographics
NPI:1043747793
Name:ADORINGSILVER HOME HEALTHCARE AGENCY, LLC
Entity Type:Organization
Organization Name:ADORINGSILVER HOME HEALTHCARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTAL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-940-7550
Mailing Address - Street 1:490 WOODBINE WAY
Mailing Address - Street 2:APT 401
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-6545
Mailing Address - Country:US
Mailing Address - Phone:772-940-7550
Mailing Address - Fax:
Practice Address - Street 1:490 WOODBINE WAY
Practice Address - Street 2:APT 401
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33418-6545
Practice Address - Country:US
Practice Address - Phone:772-940-7550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health