Healthcare Provider Details

I. General information

NPI: 1801664701
Provider Name (Legal Business Name): ADONAI HOMECARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2032 TUSCARORA VALLEY CT
FREDERICK MD
21702-7900
US

IV. Provider business mailing address

2032 TUSCARORA VALLEY CT
FREDERICK MD
21702-7900
US

V. Phone/Fax

Practice location:
  • Phone: 301-213-7094
  • Fax:
Mailing address:
  • Phone: 301-213-7094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: OMOKEHINDE AKINTADE
Title or Position: CEO
Credential: MBA
Phone: 301-213-7094