Healthcare Provider Details

I. General information

NPI: 1922869643
Provider Name (Legal Business Name): ADONAI CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11115 CHERRYVALE TER
BELTSVILLE MD
20705-3847
US

IV. Provider business mailing address

7317 GEORGIA AVE NW
WASHINGTON DC
20012-1719
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-1867
  • Fax:
Mailing address:
  • Phone: 301-809-7262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELVIS CHI TERRY
Title or Position: CHIEF OFFICER
Credential:
Phone: 240-481-1867