Organization Active NPI

Adel Health Care Services LLC

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1659925394
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ADEL HEALTH CARE SERVICES LLC
Practice address
3010 Gabriel Michael CT
Missouri City, TX 77459-3786
Phone
(718) 916-4496
Fax
(128) 180-9351
NPI assigned
Jul 31, 2019
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Rachael AdegbolaNPI 1902115470
Title
Owner/President
Phone
(718) 916-4496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X NU
Home Health Registered Nurse 163WH0200X NU
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

3010 Gabriel Michael CT
Missouri City, TX 77459-3786

Mailing address

3010 Gabriel Michael CT
Missouri City, TX 77459-3786
Phone (718) 916-4496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824003707 TX Part A Provider - Home Health Agency 6204253164 Practice locations: Missouri City, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659925394. Details of each certification follow.

Home health agency certification: CCN 748073

Legal name
ADEL HEALTH CARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 12, 2022
Last certification
Sep 30, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 26, 2019 in TX
Enrollment address
3010 Gabriel Michael CT
Missouri City, TX 77459-3786

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adel Health Care Services LLCCCN 748073 · All quality measures
Ownership
Proprietary
Certified
Oct 12, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2215374Adel Health Care Services LLC3010 Gabriel Michael Court, Missouri City, TX 77459Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Locations

9119 Highway 6
Ste 230410
Missouri City, TX 77459

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Grace Omolade Individual Corporate Director Jul 26, 2019 100%
W-2 Managing Employee Jul 26, 2019
Esther Oloyede Individual W-2 Managing Employee Jul 26, 2019
Rachael Adegbola Individual 5% Or Greater Direct Ownership Interest Jul 26, 2019 100%
Corporate Director Jul 26, 2019 25%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1659925394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 GABRIEL MICHAEL CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593786",
            "telephone_number": "718-916-4496",
            "fax_number": "281-809-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 GABRIEL MICHAEL CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593786",
            "telephone_number": "718-916-4496",
            "fax_number": "128-180-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "ADEGBOLA",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-916-4496"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.