Provider Demographics
NPI:1083222863
Name:ADA HEALTHCARE LLC
Entity Type:Organization
Organization Name:ADA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC, DIPL AC
Authorized Official - Phone:240-821-2744
Mailing Address - Street 1:6434 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-1230
Mailing Address - Country:US
Mailing Address - Phone:240-821-2744
Mailing Address - Fax:
Practice Address - Street 1:4604 PINECREST OFFICE PARK DRIVE
Practice Address - Street 2:#G
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-1441
Practice Address - Country:US
Practice Address - Phone:571-478-9977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2023-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty