=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821339045
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADONAI HOME HEALTHCARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2013
-----------------------------------------------------
Last Update Date | 03/13/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8500 ALLENTOWN PIKE SUITE C
-----------------------------------------------------
City | BLANDON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19510-9460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-916-2346
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8500 ALLENTOWN PIKE SUITE C
-----------------------------------------------------
City | BLANDON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19510-9460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-916-2346
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR/ADMINISTRATOR
-----------------------------------------------------
Name | MR. ISAIAH O ADIO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-916-2346
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 23823601
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------