Healthcare Provider Details

I. General information

NPI: 1881415636
Provider Name (Legal Business Name): ADLI BUSINESS INVESTMENT HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 BLUE RIDGE AVE
BEDFORD VA
24523-2442
US

IV. Provider business mailing address

801 BLUE RIDGE AVE
BEDFORD VA
24523-2442
US

V. Phone/Fax

Practice location:
  • Phone: 540-587-4000
  • Fax:
Mailing address:
  • Phone: 540-587-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: HILDA MORRIS
Title or Position: EXECUTIVE DIRECTOR
Credential: MHA/CESWT
Phone: 540-587-4003