Provider Demographics
NPI:1144348111
Name:ADAM'S HOUSE INC
Entity type:Organization
Organization Name:ADAM'S HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STURGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-350-1109
Mailing Address - Street 1:11825 E MINGUS VISTA DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86315-9717
Mailing Address - Country:US
Mailing Address - Phone:602-350-1109
Mailing Address - Fax:928-772-8308
Practice Address - Street 1:7697 E. NIGHTINGALE STAR LN
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86315
Practice Address - Country:US
Practice Address - Phone:602-350-1109
Practice Address - Fax:928-772-8308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZALH1349OtherLICENSE