Provider Demographics
NPI:1073336780
Name:ADORE PERSONAL CARE SERVICES LLC
Entity type:Organization
Organization Name:ADORE PERSONAL CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZERNIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-852-4671
Mailing Address - Street 1:805 CYPREMORT ST
Mailing Address - Street 2:
Mailing Address - City:JEANERETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70544-5703
Mailing Address - Country:US
Mailing Address - Phone:817-217-8627
Mailing Address - Fax:
Practice Address - Street 1:805 CYPREMORT ST
Practice Address - Street 2:
Practice Address - City:JEANERETTE
Practice Address - State:LA
Practice Address - Zip Code:70544-5703
Practice Address - Country:US
Practice Address - Phone:817-217-8627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-02
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty