Provider Demographics
NPI:1700960903
Name:ADARNA HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ADARNA HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-736-3900
Mailing Address - Street 1:1400 EAST JOLIET STREET
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-4727
Mailing Address - Country:US
Mailing Address - Phone:219-736-3900
Mailing Address - Fax:219-736-3909
Practice Address - Street 1:1400 E JOLIET ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-4724
Practice Address - Country:US
Practice Address - Phone:219-736-3900
Practice Address - Fax:219-736-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06-004058-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN04058OtherFACILITY
IN04058OtherFACILITY