Provider Demographics
NPI:1053642066
Name:ADF INC
Entity Type:Organization
Organization Name:ADF INC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:FISCHETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-546-2102
Mailing Address - Street 1:160 CHAD ROAD
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-7871
Mailing Address - Country:US
Mailing Address - Phone:570-546-2102
Mailing Address - Fax:570-546-8206
Practice Address - Street 1:160 CHAD ROAD
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-7871
Practice Address - Country:US
Practice Address - Phone:570-546-2102
Practice Address - Fax:570-546-8206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA767205251E00000X, 251J00000X, 251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000020350002Medicaid
PA1000020350007Medicaid
PA767205Medicaid
PA001586740-0003Medicaid
PA100002035-0008Medicaid
PA1000020350007Medicaid