Provider Demographics
NPI:1215488242
Name:ADAPTIVE CARE MANAGEMENT LLC
Entity type:Organization
Organization Name:ADAPTIVE CARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:609-638-3919
Mailing Address - Street 1:13 ANTHONY LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2826
Mailing Address - Country:US
Mailing Address - Phone:609-912-0101
Mailing Address - Fax:609-912-1888
Practice Address - Street 1:3140 LILLY MAR CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5075
Practice Address - Country:US
Practice Address - Phone:609-638-3919
Practice Address - Fax:614-761-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health