Provider Demographics
NPI:1457406357
Name:ADEEV ENTERPRISES, INC.
Entity Type:Organization
Organization Name:ADEEV ENTERPRISES, INC.
Other - Org Name:COMPASSIONATE CARE, DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VEEDA
Authorized Official - Middle Name:JENE
Authorized Official - Last Name:SMALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-775-5261
Mailing Address - Street 1:340 RAST ST
Mailing Address - Street 2:STE 2
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2547
Mailing Address - Country:US
Mailing Address - Phone:803-775-5261
Mailing Address - Fax:803-775-5372
Practice Address - Street 1:340 RAST ST
Practice Address - Street 2:STE 2
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2547
Practice Address - Country:US
Practice Address - Phone:803-775-5261
Practice Address - Fax:803-775-5372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC043173859332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000169876OtherUNISON HEALTH PLAN
SCDE1927Medicaid
4076400001Medicare NSC