Provider Demographics
| NPI: | 1588499495 |
|---|---|
| Name: | ADCURO HOME HEALTHCARE LLC |
| Entity type: | Organization |
| Organization Name: | ADCURO HOME HEALTHCARE LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JASMINE |
| Authorized Official - Middle Name: | D |
| Authorized Official - Last Name: | DICKERSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 609-707-6090 |
| Mailing Address - Street 1: | 324 W PARK AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LINDENWOLD |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08021-3425 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2230 ROUTE 70 W STE 2 |
| Practice Address - Street 2: | |
| Practice Address - City: | CHERRY HILL |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08002-3338 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 856-433-4585 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-09-03 |
| Last Update Date: | 2025-01-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | Group - Multi-Specialty | |
| No | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Medicine | Group - Multi-Specialty |
| No | 251E00000X | Agencies | Home Health | Group - Multi-Specialty | |
| No | 251S00000X | Agencies | Community/Behavioral Health | Group - Multi-Specialty | |
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | |
| No | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health | |
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| No | 261QP2400X | Ambulatory Health Care Facilities | Clinic/Center | Prison Health | |
| No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child | |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
