Dequincy K Adderly, MSW
Individual provider Active NPI Home Health Agency · Reseda, CA
NPI 1124332077 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1124332077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 7101 Baird Ave
Reseda, CA 91335-4150 - Phone
- (818) 342-5897
- Fax
- (818) 975-5008
- NPI assigned
- Aug 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
7101 Baird Ave
Reseda, CA 91335-4150
Mailing address
7101 Baird Ave
Reseda, CA 91335-4150
Phone (818) 342-5897
Other providers in Reseda, CA
- Sara Khaled Abu-Khazneh
- Access Home Health Care LLC.
- Ach Pharmacy Inc
- Achieve Home Health Care, Inc
- Anna Adarna
- Folashade Adeneye
- Albina Adler
- Adult Medical Transportation, Inc
- Advanced Chiropractic Group
- Advanced Eye Specialists, LLC
All providers in Reseda, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.