Provider Demographics
NPI:1063286326
Name:ADORABLE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ADORABLE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:OYESHIOFUNE
Authorized Official - Last Name:MOULTRIE
Authorized Official - Suffix:I
Authorized Official - Credentials:OWNER
Authorized Official - Phone:862-320-7457
Mailing Address - Street 1:58 EATON PL APT 1
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-5674
Mailing Address - Country:US
Mailing Address - Phone:186-232-0745
Mailing Address - Fax:862-320-7457
Practice Address - Street 1:58 EATON PL
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-5673
Practice Address - Country:US
Practice Address - Phone:862-320-7457
Practice Address - Fax:862-320-7457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty