Organization
ADAMS HOMECARE, LLC
Active
Other names
Lighthouse Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRSTEN MAVOURNEEN ADAMS (PRESIDENT / CEO)
(309) 786-9982
Entity
Organization
Contact information
Practice address
100 19TH ST, SUITE 103, ROCK ISLAND, IL 61201-8018
(309) 786-9982
(309) 786-3552
Mailing address
100 19TH ST, SUITE 103, ROCK ISLAND, IL 61201-8018
(309) 786-9982
(309) 786-3552
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4000149
IL
253Z00000X
In Home Supportive Care Agency
3000261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000402389
—
IA
Enumeration date
06/09/2011
Last updated
06/09/2011
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