Provider Demographics
NPI:1568155950
Name:ADAMS HOME CARE LLC
Entity Type:Organization
Organization Name:ADAMS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:RATIB
Authorized Official - Middle Name:
Authorized Official - Last Name:ABU ALSONDOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-669-6069
Mailing Address - Street 1:4325 S 48TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6147
Mailing Address - Country:US
Mailing Address - Phone:480-669-6069
Mailing Address - Fax:
Practice Address - Street 1:4325 S 48TH ST STE 105
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6147
Practice Address - Country:US
Practice Address - Phone:480-669-6069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care