Provider Demographics
NPI:1063420198
Name:ADARA HOME HEALTH, INC.
Entity type:Organization
Organization Name:ADARA HOME HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:FIGGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-682-0665
Mailing Address - Street 1:25 1ST AVE NE STE 200
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-1597
Mailing Address - Country:US
Mailing Address - Phone:763-682-0665
Mailing Address - Fax:763-682-6543
Practice Address - Street 1:25 1ST AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-1597
Practice Address - Country:US
Practice Address - Phone:763-682-0665
Practice Address - Fax:763-682-6543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN330685251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
55196OtherHEALTH PARTNERS #
MN855224000Medicaid
030613007OtherPRIME WEST #
120226OtherU-CARE #
7Z12PROtherBLUE CROSS/BLUE SHEILD #
1026309OtherPREFERRED ONE #
59-00081OtherMEDICA PROVIDER #