Provider Demographics
NPI:1255850897
Name:ADKINS, TOMMIE E
Entity type:Individual
Prefix:
First Name:TOMMIE
Middle Name:E
Last Name:ADKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:TOMMIE
Other - Middle Name:
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 862
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-0862
Mailing Address - Country:US
Mailing Address - Phone:877-392-7626
Mailing Address - Fax:269-310-5936
Practice Address - Street 1:1723 PUCKER STREET DR
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-1192
Practice Address - Country:US
Practice Address - Phone:269-539-4160
Practice Address - Fax:877-392-7626
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No251E00000XAgenciesHome Health
No372500000XNursing Service Related ProvidersChore Provider
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant