Provider Demographics
NPI:1992577332
Name:NADINA ADULT DAYCARE CENTER LLC
Entity type:Organization
Organization Name:NADINA ADULT DAYCARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:ALEMU
Authorized Official - Last Name:FISAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-332-6400
Mailing Address - Street 1:10630 E BETHANY DR STE C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2651
Mailing Address - Country:US
Mailing Address - Phone:408-332-6400
Mailing Address - Fax:
Practice Address - Street 1:10630 E BETHANY DR STE C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2651
Practice Address - Country:US
Practice Address - Phone:408-332-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care