Provider Demographics
NPI:1205014362
Name:ADEPT INC
Entity Type:Organization
Organization Name:ADEPT INC
Other - Org Name:ADEPT HOME HEALTH CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:HYAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-579-0656
Mailing Address - Street 1:818 N MOUNTAIN AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4167
Mailing Address - Country:US
Mailing Address - Phone:909-579-0656
Mailing Address - Fax:909-579-0625
Practice Address - Street 1:818 N MOUNTAIN AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4167
Practice Address - Country:US
Practice Address - Phone:909-579-0656
Practice Address - Fax:909-579-0625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
557735Medicare Oscar/Certification