Provider Demographics
NPI:1750509865
Name:ADAPTIVE HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADAPTIVE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAFIYA
Authorized Official - Middle Name:J
Authorized Official - Last Name:OMOSANYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-296-7922
Mailing Address - Street 1:18356 MYRTLE CT
Mailing Address - Street 2:UNIT 8
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3342
Mailing Address - Country:US
Mailing Address - Phone:708-296-7922
Mailing Address - Fax:
Practice Address - Street 1:18356 MYRTLE CT
Practice Address - Street 2:UNIT 8
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3342
Practice Address - Country:US
Practice Address - Phone:708-296-7922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004128A225X00000X
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty