Provider Demographics
NPI:1407397334
Name:ADAPTED HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ADAPTED HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RANDAL
Authorized Official - Last Name:MCCAW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ACSM-CEP
Authorized Official - Phone:770-880-0249
Mailing Address - Street 1:16 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-3850
Mailing Address - Country:US
Mailing Address - Phone:770-880-0249
Mailing Address - Fax:
Practice Address - Street 1:16 VALLEY DR
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3850
Practice Address - Country:US
Practice Address - Phone:770-880-0249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health