Provider Demographics
NPI:1962771188
Name:ADAYA HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ADAYA HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-273-6392
Mailing Address - Street 1:3938 KEY WEST WAY
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3427
Mailing Address - Country:US
Mailing Address - Phone:210-273-6392
Mailing Address - Fax:210-978-0960
Practice Address - Street 1:3938 KEY WEST WAY
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3427
Practice Address - Country:US
Practice Address - Phone:210-273-6392
Practice Address - Fax:210-978-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health