Adora Healthcare Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP7740 Issued in AZ

Legal business name

ADORA HEALTHCARE SERVICES

Practice address

4725 N 152ND Dr
Goodyear, AZ 85395-8394

Phone

(216) 544-5418

NPI assigned

Jun 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Peter Tamunoh Teboh, FNP-BC

Title

President/Ceo

Phone

(216) 544-5418

Specialties & licenses 9

Addresses

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Adora Healthcare Services

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1972195428
  NPPES parent name
• Cares of Zion Behavior Group Home

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1912574989
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1093164584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958394",
            "telephone_number": "216-544-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958394",
            "telephone_number": "216-544-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADORA HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "TEBOH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TAMUNOH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "216-544-5418",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7740",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adrienne Adkins-Provost, MSN, FNP-BC
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• Aegis Group Practice LLC
• Affinity Behavioral Care, LLC

• Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.