Provider Demographics
NPI:1639495294
Name:ADAPTIVE AIDS, LLC
Entity type:Organization
Organization Name:ADAPTIVE AIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-746-7836
Mailing Address - Street 1:3715 SUNSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-1203
Mailing Address - Country:US
Mailing Address - Phone:832-746-7836
Mailing Address - Fax:281-587-8411
Practice Address - Street 1:3715 SUNSTONE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-1203
Practice Address - Country:US
Practice Address - Phone:832-746-7836
Practice Address - Fax:281-587-8411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services