Provider Demographics
NPI:1699038836
Name:ADT LLC
Entity type:Organization
Organization Name:ADT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DRONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-259-3336
Mailing Address - Street 1:1501 YAMATO RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4438
Mailing Address - Country:US
Mailing Address - Phone:561-988-3600
Mailing Address - Fax:561-431-4624
Practice Address - Street 1:32100 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3709
Practice Address - Country:US
Practice Address - Phone:877-456-1787
Practice Address - Fax:877-666-4390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333300000XSuppliersEmergency Response System Companies
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000946811BMedicaid
MI581814102Medicaid
SC000004198Medicaid
NJ140002Medicaid
NC1699038836Medicaid
NV1699038836Medicaid
MD178301700Medicaid
LA1787418Medicaid
NY05303255Medicaid
MA110151745AMedicaid
OK200620330AMedicaid
KS201207840AMedicaid
IL454517356992Medicaid
IA058871Medicaid
FL102689300Medicaid
IN201129980AMedicaid
GA000946811AMedicaid
OH0072994Medicaid
VA1699038836Medicaid
IN201129980AMedicaid
MI581814102Medicaid