Provider Demographics
NPI:1801664701
Name:ADONAI HOMECARE SERVICES INC
Entity type:Organization
Organization Name:ADONAI HOMECARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMOKEHINDE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINTADE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:301-213-7094
Mailing Address - Street 1:2032 TUSCARORA VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-7900
Mailing Address - Country:US
Mailing Address - Phone:301-213-7094
Mailing Address - Fax:
Practice Address - Street 1:2032 TUSCARORA VALLEY CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-7900
Practice Address - Country:US
Practice Address - Phone:301-213-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care