Provider Demographics
NPI:1346965852
Name:ADORA VIDA CARE LLC
Entity Type:Organization
Organization Name:ADORA VIDA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARICELJEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RYCRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-665-4834
Mailing Address - Street 1:6268 SPRING MOUNTAIN RD STE 100C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-8874
Mailing Address - Country:US
Mailing Address - Phone:702-665-4834
Mailing Address - Fax:725-712-2030
Practice Address - Street 1:6268 SPRING MOUNTAIN RD STE 100C
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8874
Practice Address - Country:US
Practice Address - Phone:702-665-4834
Practice Address - Fax:725-712-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based