Provider Demographics
NPI:1487223186
Name:ADARA HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ADARA HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-807-9625
Mailing Address - Street 1:12995 SHERIDAN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1489
Mailing Address - Country:US
Mailing Address - Phone:720-710-5580
Mailing Address - Fax:
Practice Address - Street 1:12995 SHERIDAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1489
Practice Address - Country:US
Practice Address - Phone:720-710-5580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health