Provider Demographics
NPI:1942567995
Name:ADAPT-UR-HOME
Entity Type:Organization
Organization Name:ADAPT-UR-HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:BORRERO
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:1919-313-4600
Mailing Address - Street 1:4819 EMPEROR BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5420
Mailing Address - Country:US
Mailing Address - Phone:919-313-4600
Mailing Address - Fax:407-391-3752
Practice Address - Street 1:4819 EMPEROR BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5420
Practice Address - Country:US
Practice Address - Phone:919-313-4600
Practice Address - Fax:407-391-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based