Provider Demographics
NPI:1912407891
Name:ADONI HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:ADONI HEALTHCARE SERVICES, LLC
Other - Org Name:THE CAREWELL CLINIC, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINA
Authorized Official - Middle Name:O
Authorized Official - Last Name:ABURIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-533-7754
Mailing Address - Street 1:7525 GREENWAY CENTER DR STE 316
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3525
Mailing Address - Country:US
Mailing Address - Phone:301-533-7754
Mailing Address - Fax:301-363-2316
Practice Address - Street 1:7525 GREENWAY CENTER DR STE 316
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-533-7754
Practice Address - Fax:301-363-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-16
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty