Provider Demographics
NPI:1750489209
Name:ADL HOME CARE
Entity Type:Organization
Organization Name:ADL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-933-9770
Mailing Address - Street 1:5028 ALTA DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-3927
Mailing Address - Country:US
Mailing Address - Phone:702-933-9770
Mailing Address - Fax:702-933-9773
Practice Address - Street 1:5028 ALTA DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3927
Practice Address - Country:US
Practice Address - Phone:702-933-9770
Practice Address - Fax:702-933-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV194973747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty