Provider Demographics
NPI:1306006028
Name:ADCARE HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:ADCARE HEALTH SYSTEMS, INC.
Other - Org Name:HEARTH & CARE AT GREENFIELD-LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-964-8974
Mailing Address - Street 1:311 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45123-1429
Mailing Address - Country:US
Mailing Address - Phone:937-981-3349
Mailing Address - Fax:
Practice Address - Street 1:311 SOUTH ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:OH
Practice Address - Zip Code:45123-1429
Practice Address - Country:US
Practice Address - Phone:937-981-3349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36D0345477291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory