MEDICARE: ADULTGERO HEALTH PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251300000X	Local Education Agency (LEA)
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251J00000X	Nursing Care Agency
4	253Z00000X	In Home Supportive Care Agency
5	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1811734692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADULTGERO HEALTH PLLC

Provider Business Mailing Address
First Line	:	6470 ROGERS RD UNIT 244
Second Line	:
City	:	ROLESVILLE
State	:	NC
Zip	:	27571-2011
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 W GATE CITY BLVD STE 3
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-1262
Country	:	US
Telephone Number	:	614-300-8971
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NANA YAA ADDAI
Credential	:	DNP
Telephone Number	:	614-300-8971

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	09/25/2024

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Directions to “ADULTGERO HEALTH PLLC ” Practice Location

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