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Adonia Provider Home Care LLC

Home Health in Dallas, TX. Organization (NPI-2).

NPI number1982292611
StatusActive
Last updated in NPPESOct 30, 2025

Details

NPI
1982292611
Entity type
Organization (NPI-2)
Legal business name
Adonia Provider Home Care LLC
Organization subpart
No
Enumeration date
Jan 7, 2021
Certification date
Oct 30, 2025
Last updated
Oct 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
3747P1801X Technician, Personal Care Attendant––
3747A0650X Technician, Attendant Care Provider––

Practice location

11615 Forest Central Dr Ste 210
Dallas, TX 75243-3815

Phone 469-313-3098 · Fax 972-452-9060

Mailing address

11615 Forest Central Dr Ste 210
Dallas, TX 75243-3815

Phone 469-313-3098 · Fax 972-452-9060

Authorized official

Thomas Jefferson
Owner
4693133098

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