Basic Information
| Provider Information | |||||||||
| NPI: | 1174946313 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADAPTIVE HOMES INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 795 WINSLOWS MILLS RD | ||||||||
| Address2: | |||||||||
| City: | WALDOBORO | ||||||||
| State: | ME | ||||||||
| PostalCode: | 045725922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072159761 | ||||||||
| FaxNumber: | 2078322213 | ||||||||
| Practice Location | |||||||||
| Address1: | 795 WINSLOWS MILLS RD | ||||||||
| Address2: | |||||||||
| City: | WALDOBORO | ||||||||
| State: | ME | ||||||||
| PostalCode: | 045725922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072159761 | ||||||||
| FaxNumber: | 2078322213 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2014 | ||||||||
| LastUpdateDate: | 07/30/2014 | ||||||||
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| AuthorizedOfficialLastName: | DOWNING | ||||||||
| AuthorizedOfficialFirstName: | BRIAN | ||||||||
| AuthorizedOfficialMiddleName: | CHRISTIAN | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2072159761 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | MS, OTR/L | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | OT1601 | ME | Y | Agencies | Home Health |
No ID Information.