Provider Demographics
NPI:1306616826
Name:ADAM'S CARE AND TRANSPORTATION LLC
Entity type:Organization
Organization Name:ADAM'S CARE AND TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:MR
Authorized Official - First Name:MOKHTAR
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MAKTOURY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:575-489-7916
Mailing Address - Street 1:612 S GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:DEMING
Mailing Address - State:NM
Mailing Address - Zip Code:88030-4511
Mailing Address - Country:US
Mailing Address - Phone:575-489-7916
Mailing Address - Fax:
Practice Address - Street 1:612 S GRANITE ST
Practice Address - Street 2:
Practice Address - City:DEMING
Practice Address - State:NM
Practice Address - Zip Code:88030-4511
Practice Address - Country:US
Practice Address - Phone:575-489-7916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty