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).
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. |
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 Name | Type Code |
---|---|
ONE LOVE AGENCY | Doing Business As Name - Organization |
Street Address |
2847 HIDDEN HUTCH |
City | AMMON |
State | ID |
Zip Code | 83401-6036 |
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1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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.