Provider Demographics
NPI:1861671190
Name:ADONAI MEDHEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ADONAI MEDHEALTH SERVICES, INC
Other - Org Name:ADONAI OF LEGACY HOMEHEALTH CARE &/OR ADONAI PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-491-2077
Mailing Address - Street 1:4500 LEGACY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2179
Mailing Address - Country:US
Mailing Address - Phone:972-491-2077
Mailing Address - Fax:972-801-2078
Practice Address - Street 1:4500 LEGACY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2179
Practice Address - Country:US
Practice Address - Phone:972-801-2086
Practice Address - Fax:972-801-2078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
TX011942251J00000X, 253J00000X, 253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011942OtherHCSSA
TX200989601Medicaid
TX200989602Medicaid
45D1079272OtherCLIA