Adonia Residential Health Service, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ADONIA RESIDENTIAL HEALTH SERVICE, LLC

Practice address

13 Broadbridge Rd
Rosedale, MD 21237-1558

Phone

(443) 642-9933

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Ngozi Gloria Wilkens

Title

Administrator

Phone

(443) 642-9933

Specialties & licenses 1

Addresses

Other names 1

• ADONIA RESIDENTIAL HEALTH SERVICE, LLC Former legal business name

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1821670969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BROADBRIDGE RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212371558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BROADBRIDGE RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212371558",
            "telephone_number": "443-642-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADONIA RESIDENTIAL HEALTH SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-642-9933"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADONIA RESIDENTIAL HEALTH SERVICE, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.