Provider Demographics
NPI:1508086653
Name:ADVENTURES ONE, INC.
Entity Type:Organization
Organization Name:ADVENTURES ONE, INC.
Other - Org Name:HELPING HANDS ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:BONNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS RN
Authorized Official - Phone:301-856-5553
Mailing Address - Street 1:7121 OLD ALEXANDRIA FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-856-5553
Mailing Address - Fax:301-856-5512
Practice Address - Street 1:7121 OLD ALEXANDRIA FERRY RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-856-5553
Practice Address - Fax:301-856-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11714261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD984513500Medicaid
DC026592600Medicaid