Provider Demographics
NPI:1417527193
Name:ADONAI HOME CARE SERVICES
Entity Type:Organization
Organization Name:ADONAI HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-220-0792
Mailing Address - Street 1:8306 TOBIN RD APT 14
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6826
Mailing Address - Country:US
Mailing Address - Phone:240-441-0950
Mailing Address - Fax:
Practice Address - Street 1:8306 TOBIN RD APT 14
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-6826
Practice Address - Country:US
Practice Address - Phone:240-441-0950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
089818261OtherPRIVATE