Provider Demographics
NPI:1336892769
Name:ADULT CARE HOUSING, INC
Entity type:Organization
Organization Name:ADULT CARE HOUSING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-418-6264
Mailing Address - Street 1:5700 92ND AVE N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5010
Mailing Address - Country:US
Mailing Address - Phone:727-418-6264
Mailing Address - Fax:
Practice Address - Street 1:5030 78TH AVE N STE 8
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2406
Practice Address - Country:US
Practice Address - Phone:727-418-6264
Practice Address - Fax:727-205-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL123561300Medicaid