Provider Demographics
NPI:1053168211
Name:ADONAI HOME CARE SERVICE
Entity type:Organization
Organization Name:ADONAI HOME CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FILIPE
Authorized Official - Middle Name:DIDI
Authorized Official - Last Name:MINGUNDA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:320-224-0377
Mailing Address - Street 1:30 PARKERS WAY
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-7488
Mailing Address - Country:US
Mailing Address - Phone:320-224-0377
Mailing Address - Fax:
Practice Address - Street 1:30 PARKERS WAY
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-7488
Practice Address - Country:US
Practice Address - Phone:320-224-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility