MEDICARE: ADLAD 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
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1770283632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADLAD HOME CARE LLC

Provider Business Mailing Address
First Line	:	17218 QUIET SONG CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2964
Country	:	US
Telephone Number	:	832-908-7258
Fax Number	:	281-885-2620

Provider Business Practice Location Address
First Line	:	17218 QUIET SONG CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2964
Country	:	US
Telephone Number	:	832-908-7258
Fax Number	:	713-481-2066

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BILIKIS ADEBOWALE
Credential	:	RN
Telephone Number	:	832-447-2195

Provider Enumeration Date	:	03/08/2023
Last Update Date	:	02/29/2024

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Directions to “ADLAD HOME CARE LLC ” Practice Location

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