Provider Demographics
NPI:1457446080
Name:ADEPT ONE HOME HEALTH INC
Entity Type:Organization
Organization Name:ADEPT ONE HOME HEALTH INC
Other - Org Name:LIVING TREE OF LIFE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-377-3444
Mailing Address - Street 1:1800 NE LOOP 410 STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5210
Mailing Address - Country:US
Mailing Address - Phone:210-377-3444
Mailing Address - Fax:210-377-3447
Practice Address - Street 1:1800 NE LOOP 410 STE 400
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5210
Practice Address - Country:US
Practice Address - Phone:210-377-3444
Practice Address - Fax:210-377-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009962251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009962OtherSTATE LICENSE
TX457918Medicare Oscar/Certification