MEDICARE: ADAPT OF TEXAS, INC.

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	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	126218	OTHER	TX	NORTHSTAR PROVIDER

General Provider Information

NPI Number	:	1629093117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPT OF TEXAS, INC.

Provider Business Mailing Address
First Line	:	323 CONSORT DR
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63011-4439
Country	:	US
Telephone Number	:	877-315-0488
Fax Number	:	972-554-7102

Provider Business Practice Location Address
First Line	:	2600 N. STEMMONS FREEWAY
Second Line	:	SUITE 151
City	:	DALLAS
State	:	TX
Zip	:	75207-2111
Country	:	US
Telephone Number	:	888-905-0595
Fax Number	:	214-905-0979

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. WILLIAM E HARRIS
Credential	:
Telephone Number	:	877-315-0488

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/10/2013

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Directions to “ADAPT OF TEXAS, INC. ” Practice Location

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