ADOLPHO ENTERPRISE LLC.


Address: 2847 Hidden Hutch, Ammon, ID 83401-6036
Phone: 4355539822

ADOLPHO ENTERPRISE LLC. (NPI# 1932454642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932454642
Entity Type Organization
Organization Name ADOLPHO ENTERPRISE LLC.
Other Organization Name ONE LOVE AGENCY
Practice Address 2847 Hidden Hutch
Ammon
ID 83401-6036
Practice Telephone 4355539822
Mailing Telephone 4355539822
Enumeration Date 2012-07-18
Last Update Date 2012-08-27
Authorized Official Name RICK ADOLPHO (OWNER)
Authorized Official Telephone 4355539822
Authorized Official Credential BS, MBA, PSR
Is Organization Subpart Y
Parent Organization Name ADOLPHO ENTERPRISE LLC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TR0400X Psychologist
Specialization: Rehabilitation
Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
ONE LOVE AGENCY Doing Business As Name - Organization

Office Location

Street Address 2847 HIDDEN HUTCH
City AMMON
State ID
Zip Code 83401-6036

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City AMMON
Zip Code 83401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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