Provider Demographics
NPI:1578163374
Name:ADJUVA HEALTH LLC
Entity Type:Organization
Organization Name:ADJUVA HEALTH LLC
Other - Org Name:ADJUVA HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-995-8803
Mailing Address - Street 1:19046 BRUCE B DOWNS BLVD # 306
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2434
Mailing Address - Country:US
Mailing Address - Phone:813-995-8803
Mailing Address - Fax:
Practice Address - Street 1:33905 STATE ROAD 54 STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-9100
Practice Address - Country:US
Practice Address - Phone:813-995-8803
Practice Address - Fax:888-433-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health