1891904900 NPI number — ADE, INC

Table of content: (NPI 1891904900)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891904900 NPI number — ADE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADE, INC
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:
Provider Other Organization Name Type Code:
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:
1891904900
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
165 TOPSIDE E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARDEEVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29927-2943
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-722-2324
Provider Business Mailing Address Fax Number:
843-707-4660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
165 TOPSIDE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARDEEVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29927-2943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-722-2324
Provider Business Practice Location Address Fax Number:
843-707-4660
Provider Enumeration Date:
05/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
IRELAND
Authorized Official First Name:
MARTHA
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
703-722-2324

Provider Taxonomy Codes

  • Taxonomy code: 163WP0808X , with the licence number:  15000530 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 26NJ00296400 . This is a "APN/ADULT PSYCHIATRIC /MENTAL HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: RN1018651 . This is a "ADVANCED PRACTICE REGISTERED NURSE/PSYCHIATRIC MENTAL HEALTH" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: LE-0000104 . This is a "PSYCHIATRIC CLINICAL NURSE SPECIALIST" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: AC000754 . This is a "ADVANCE PRACTICE REGISTERED NURSE/PSYCHIATRIC MENTAL HEALTH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 15000530 . This is a "PSYCHIATRIC CLINICAL NURSE SPECIALIST" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1954 . This is a "PSYCHIATRIC CLINICAL NURSE SPECIALIST" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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