Provider Demographics
NPI:1437532041
Name:ALL ADL CARE LLC
Entity Type:Organization
Organization Name:ALL ADL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CERTIFIED HOME HEALTH AIDE
Authorized Official - Prefix:
Authorized Official - First Name:BOSHANDA
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-255-4235
Mailing Address - Street 1:337 N VINEYARD AVE
Mailing Address - Street 2:9107
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4453
Mailing Address - Country:US
Mailing Address - Phone:844-255-4235
Mailing Address - Fax:844-677-2442
Practice Address - Street 1:337 N VINEYARD AVE
Practice Address - Street 2:9107
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4453
Practice Address - Country:US
Practice Address - Phone:844-255-4235
Practice Address - Fax:844-677-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00781852385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care