Adar Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ADAR HEALTHCARE LLC

Practice address

600 Bacon St
Madisonville, TX 77864-2575

Phone

(936) 345-9097

Fax

(936) 349-0407

NPI assigned

Apr 30, 2019

Last updated

Mar 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Goldstein

Title

Sole Member

Phone

(845) 216-8944

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1720642242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MARINER WAY",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521656",
            "telephone_number": "845-216-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BACON ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778642575",
            "telephone_number": "936-345-9097",
            "fax_number": "936-349-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "845-216-8944"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001030658",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britt Haley Allen, PT
• Kelsey Allen
• Mac Leon Bennett III, DDS
• Amanda Faith Boone
• Brazos Valley Community Action Agency, Inc. (HealthPoint)

• Skilled Nursing Facility in Madisonville, TX
• Providers in Madisonville, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.