Provider Demographics
NPI:1306220298
Name:ADAMS COUNTY HOMECARE, LLC
Entity Type:Organization
Organization Name:ADAMS COUNTY HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:BUNN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:513-313-2307
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:19189 STATE ROUTE 136
Mailing Address - City:WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45697-0208
Mailing Address - Country:US
Mailing Address - Phone:937-386-6015
Mailing Address - Fax:937-386-6064
Practice Address - Street 1:19189 ST RT 136
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:45697
Practice Address - Country:US
Practice Address - Phone:937-695-1484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health