MEDICARE: ADAGE SENIOR 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1245189448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAGE SENIOR CARE LLC

Provider Business Mailing Address
First Line	:	8720 SILVERADO TRL STE 3A
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2413
Country	:	US
Telephone Number	:	206-669-3859
Fax Number	:

Provider Business Practice Location Address
First Line	:	8720 SILVERADO TRL STE 3A
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2413
Country	:	US
Telephone Number	:	206-669-3859
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	KEN WAHNSCHAFFE
Credential	:	BSW
Telephone Number	:	206-669-3859

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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