Provider Demographics
NPI:1912742065
Name:ALIMI, ADAM I
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:I
Last Name:ALIMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 EBENEZER RD STE K5
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1080
Mailing Address - Country:US
Mailing Address - Phone:404-447-4949
Mailing Address - Fax:
Practice Address - Street 1:2025 EBENEZER RD STE K5
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1080
Practice Address - Country:US
Practice Address - Phone:404-447-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-29
Last Update Date:2024-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-1903374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide