Provider Demographics
NPI:1134742208
Name:ADEQUATE HOME CARE LLC
Entity type:Organization
Organization Name:ADEQUATE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DON
Authorized Official - Prefix:MR
Authorized Official - First Name:MOUNIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-367-9906
Mailing Address - Street 1:10255 MADISON ST NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-4229
Mailing Address - Country:US
Mailing Address - Phone:651-367-9906
Mailing Address - Fax:
Practice Address - Street 1:5680 HADLEY AVE N APT 202
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-1029
Practice Address - Country:US
Practice Address - Phone:651-367-9906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-25
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health