Provider Demographics
NPI:1497637607
Name:AI COMMUNITY INITIATIVE, INC
Entity type:Organization
Organization Name:AI COMMUNITY INITIATIVE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
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:667-777-0097
Mailing Address - Street 1:8118 HARFORD RD # G
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-5725
Mailing Address - Country:US
Mailing Address - Phone:667-777-0097
Mailing Address - Fax:
Practice Address - Street 1:8118 HARFORD RD # 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:667-777-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable