1699038836 NPI number — ADT LLC

Table of content: (NPI 1699038836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699038836 NPI number — ADT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ADT SECURITY SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699038836
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1501 YAMATO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33431-4438
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-988-3600
Provider Business Mailing Address Fax Number:
561-431-4624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32100 US HIGHWAY 19 N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALM HARBOR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34684-3709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-456-1787
Provider Business Practice Location Address Fax Number:
877-666-4390
Provider Enumeration Date:
06/22/2012

Additional Information

Authorized Official

Authorized Official Last Name:
DRONEY
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR DIRECTOR
Authorized Official Telephone Number:
443-259-3336

Provider Taxonomy Codes

  • Taxonomy code: 146D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3747A0650X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000946811B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 581814102 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000004198 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 140002 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1699038836 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1699038836 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 178301700 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1787418 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05303255 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110151745A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200620330A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201207840A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 454517356992 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 058871 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 102689300 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 201129980A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000946811A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0072994 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1699038836 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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