Provider Demographics
NPI:1306516216
Name:ADELS HEALTHCARE COORDINATION
Entity type:Organization
Organization Name:ADELS HEALTHCARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADELAIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:INCOOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-921-5069
Mailing Address - Street 1:4540 GOLDEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8118 HARFORD RD STE G
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-5725
Practice Address - Country:US
Practice Address - Phone:443-563-1654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care