Provider Demographics
NPI:1750146262
Name:ADAPTIVE SERVICES LLC
Entity type:Organization
Organization Name:ADAPTIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDULWAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-568-4113
Mailing Address - Street 1:10300 DEVONSHIRE CIR APT 115
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-3185
Mailing Address - Country:US
Mailing Address - Phone:763-568-4113
Mailing Address - Fax:
Practice Address - Street 1:10300 DEVONSHIRE CIR APT 115
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-3185
Practice Address - Country:US
Practice Address - Phone:763-568-4113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health