Provider Demographics
NPI:1740702315
Name:ADL HOME CARE INC
Entity type:Organization
Organization Name:ADL HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-963-9888
Mailing Address - Street 1:7175 TOWER RD STE B
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-8609
Mailing Address - Country:US
Mailing Address - Phone:269-963-9888
Mailing Address - Fax:269-963-7724
Practice Address - Street 1:7175 TOWER RD SUITE B
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014
Practice Address - Country:US
Practice Address - Phone:269-963-9888
Practice Address - Fax:269-963-7724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherN/A