Provider Demographics
NPI:1285030171
Name:ADULT MEDICARE, INC
Entity Type:Organization
Organization Name:ADULT MEDICARE, INC
Other - Org Name:SENIORINCARE.COM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAQBOOL
Authorized Official - Suffix:
Authorized Official - Credentials:LSC
Authorized Official - Phone:408-295-5015
Mailing Address - Street 1:4101 DUBLIN BLVD STE F-423
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4592
Mailing Address - Country:US
Mailing Address - Phone:408-295-5015
Mailing Address - Fax:925-261-3200
Practice Address - Street 1:4101 DUBLIN BLVD STE F-423
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-4592
Practice Address - Country:US
Practice Address - Phone:408-295-5015
Practice Address - Fax:925-261-3200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADULT MEDICARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health