Healthcare Provider Details

I. General information

NPI: 1861671190
Provider Name (Legal Business Name): ADONAI MEDHEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 LEGACY DR SUITE 400
PLANO TX
75024-2179
US

IV. Provider business mailing address

4500 LEGACY DR SUITE 400
PLANO TX
75024-2179
US

V. Phone/Fax

Practice location:
  • Phone: 972-801-2086
  • Fax: 972-801-2078
Mailing address:
  • Phone: 972-491-2077
  • Fax: 972-801-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number011942
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number011942
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number011942
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number011942
License Number StateTX

VIII. Authorized Official

Name: MARIBEL TURNEY
Title or Position: CEO
Credential: RN
Phone: 972-491-2077