Provider Demographics
NPI:1962645507
Name:ADAMS & ADAMS ENTERPRISES INC
Entity type:Organization
Organization Name:ADAMS & ADAMS ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICER
Authorized Official - Phone:801-363-6340
Mailing Address - Street 1:125 S 900 W
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84104-1125
Mailing Address - Country:US
Mailing Address - Phone:801-363-6340
Mailing Address - Fax:801-359-8533
Practice Address - Street 1:125 S 900 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84104-1125
Practice Address - Country:US
Practice Address - Phone:801-363-6340
Practice Address - Fax:801-359-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========001Medicaid
UT465124Medicare Oscar/Certification