Provider Demographics
NPI:1801494745
Name:ADRIAN'S WINGS HOME CARE LLC
Entity type:Organization
Organization Name:ADRIAN'S WINGS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEI
Authorized Official - Middle Name:SIMONE
Authorized Official - Last Name:PARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-704-3024
Mailing Address - Street 1:5457 SOUTHGATE BLVD APT 7
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3448
Mailing Address - Country:US
Mailing Address - Phone:513-704-3024
Mailing Address - Fax:
Practice Address - Street 1:5457 SOUTHGATE BLVD APT 7
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3448
Practice Address - Country:US
Practice Address - Phone:513-704-3024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health