Provider Demographics
NPI:1477806644
Name:ADORATION HOMECARE, INC
Entity Type:Organization
Organization Name:ADORATION HOMECARE, INC
Other - Org Name:ADORATION HOMECARE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLIVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-797-5094
Mailing Address - Street 1:8611 STRATHMORE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-3851
Mailing Address - Country:US
Mailing Address - Phone:214-797-5094
Mailing Address - Fax:214-553-1199
Practice Address - Street 1:8611 STRATHMORE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-3851
Practice Address - Country:US
Practice Address - Phone:214-797-5094
Practice Address - Fax:214-553-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health