Healthcare Provider Details
I. General information
NPI: 1508493099
Provider Name (Legal Business Name): ADUA CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2020
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10180 SW 28TH ST
MIAMI FL
33165-2956
US
IV. Provider business mailing address
10180 SW 28TH ST
MIAMI FL
33165-2956
US
V. Phone/Fax
- Phone: 786-355-1587
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADUA
TARRAU
Title or Position: CEO
Credential:
Phone: 786-355-1587