Provider Demographics
NPI:1538050349
Name:JANES, ADAM THOMAS
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:THOMAS
Last Name:JANES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-1803
Mailing Address - Country:US
Mailing Address - Phone:419-341-8519
Mailing Address - Fax:
Practice Address - Street 1:31 LEWIS ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-1803
Practice Address - Country:US
Practice Address - Phone:419-341-8519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide