Provider Demographics
NPI:1336630003
Name:ADL CAREGIVERS LLC
Entity Type:Organization
Organization Name:ADL CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AKOSUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADJARE-SEFA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:844-205-7403
Mailing Address - Street 1:4412 STANFORD ST APT 4
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5952
Mailing Address - Country:US
Mailing Address - Phone:844-205-7403
Mailing Address - Fax:844-688-4890
Practice Address - Street 1:4412 STANFORD ST UNIT 4
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006
Practice Address - Country:US
Practice Address - Phone:844-205-7403
Practice Address - Fax:844-688-4890
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RED SAHARA INVESTMENTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care