Provider Demographics
NPI:1215600788
Name:ADEQUATE HEALTHCARE LLC
Entity Type:Organization
Organization Name:ADEQUATE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGEZEM
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:877-707-7790
Mailing Address - Street 1:4301 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-2600
Mailing Address - Country:US
Mailing Address - Phone:877-707-7790
Mailing Address - Fax:
Practice Address - Street 1:4301 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-2600
Practice Address - Country:US
Practice Address - Phone:877-707-7790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care