Provider Demographics
NPI:1801034541
Name:ADA HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:ADA HEALTHCARE SERVICES INC
Other - Org Name:ADA HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:AKPOMANA
Authorized Official - Last Name:ESEDEBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-284-8689
Mailing Address - Street 1:102 FOREST BEND DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2039
Mailing Address - Country:US
Mailing Address - Phone:214-284-8689
Mailing Address - Fax:214-553-1519
Practice Address - Street 1:9661 AUDELIA RD
Practice Address - Street 2:SUITE 111
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2676
Practice Address - Country:US
Practice Address - Phone:214-284-8689
Practice Address - Fax:214-553-1519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health