Organization Active NPI

Adem Healthcare Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1720243587
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
692678998 Issued in FL
Legal business name
ADEM HEALTHCARE INC
Practice address
8002 La Serena Dr
Tampa, FL 33614-2735
Phone
(813) 933-9673
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mr. Kehinde Ade Olayisade
Title
Administrator
Phone
(813) 420-8036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 692678998 FL Primary

Addresses

Primary practice location

8002 La Serena Dr
Tampa, FL 33614-2735

Mailing address

8002 La Serena Dr
Tampa, FL 33614-2735
Phone (813) 933-9673

Other identifiers 1

IdentifierTypeStateIssuer
692978996MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1720243587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 LA SERENA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142735",
            "telephone_number": "813-933-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 LA SERENA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142735",
            "telephone_number": "813-933-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEM HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "OLAYISADE",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_middle_name": "ADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-420-8036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "692678998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692978996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.