Provider Demographics
NPI:1467830448
Name:NADIA'S ADULT FOSTER CARE
Entity Type:Organization
Organization Name:NADIA'S ADULT FOSTER CARE
Other - Org Name:NADIA'S ADULT FOSTER CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADULT COMPANION
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAILLANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-502-4046
Mailing Address - Street 1:5241 ROGER MARIS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3275
Mailing Address - Country:US
Mailing Address - Phone:915-502-4046
Mailing Address - Fax:
Practice Address - Street 1:5241 ROGER MARIS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-3275
Practice Address - Country:US
Practice Address - Phone:915-502-4046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NADIA'S ADULT FOSTER CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency