Healthcare Provider Details

I. General information

NPI: 1457034555
Provider Name (Legal Business Name): ADA'S HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485C US HIGHWAY 1 S STE 100
ISELIN NJ
08830-3016
US

IV. Provider business mailing address

485C US HIGHWAY 1 S STE 100
ISELIN NJ
08830-3016
US

V. Phone/Fax

Practice location:
  • Phone: 347-972-4417
  • Fax:
Mailing address:
  • Phone: 347-972-4417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MARCIA ANN MARIE MINOTT
Title or Position: CEO
Credential:
Phone: 347-972-4417