Provider Demographics
NPI:1073370136
Name:ADORN HEALTH CARE LLC
Entity Type:Organization
Organization Name:ADORN HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEYUANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-243-6319
Mailing Address - Street 1:603 E GOLIAD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CROCKETT
Mailing Address - State:TX
Mailing Address - Zip Code:75835-2151
Mailing Address - Country:US
Mailing Address - Phone:936-243-6319
Mailing Address - Fax:936-243-6318
Practice Address - Street 1:603 E GOLIAD AVE STE 201
Practice Address - Street 2:
Practice Address - City:CROCKETT
Practice Address - State:TX
Practice Address - Zip Code:75835-2151
Practice Address - Country:US
Practice Address - Phone:936-243-6319
Practice Address - Fax:936-243-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care