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NPI Code Detail

MEDICARE: ADORN SENIOR HOME CARE LLC

MEDICARE: ADORN SENIOR HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1235770488
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADORN SENIOR HOME CARE LLC
Provider Business Mailing Address
First Line : 14916 REDMAN AVE
Second Line :
City : OMAHA
State : NE
Zip : 68116-1448
Country : US
Telephone Number : 402-637-2373
Fax Number :
Provider Business Practice Location Address
First Line : 14916 REDMAN AVE
Second Line :
City : OMAHA
State : NE
Zip : 68116-1448
Country : US
Telephone Number : 402-637-2373
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JERRY MARCOS
Credential :
Telephone Number : 402-637-2373
Provider Enumeration Date : 09/30/2019
Last Update Date : 09/30/2019

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Directions to “ADORN SENIOR HOME CARE LLC ” Practice Location

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