Provider Demographics
NPI:1821033283
Name:ADEPT TWO HOME HEALTH INC.
Entity Type:Organization
Organization Name:ADEPT TWO HOME HEALTH INC.
Other - Org Name:PATIENCE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, HCS-D
Authorized Official - Phone:210-416-3400
Mailing Address - Street 1:12770 CIMARRON PATH
Mailing Address - Street 2:134
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3427
Mailing Address - Country:US
Mailing Address - Phone:210-340-4445
Mailing Address - Fax:210-340-4451
Practice Address - Street 1:12770 CIMARRON PATH
Practice Address - Street 2:134
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3427
Practice Address - Country:US
Practice Address - Phone:210-340-4445
Practice Address - Fax:210-340-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009936251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1821033283OtherNPI NUMBER
TX457891OtherMEDICARE LEGACY NUMBER
TX457891Medicare Oscar/Certification