JEFFREY CHONAWORAH ADISAM
NPI 1851831911
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Giddings, TX

Q: What is Jeffrey Adisam's NPI number?

The NPI number for Jeffrey Adisam is 1851831911. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Q: What is Jeffrey Adisam's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Adisam was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 08, 2017

1087 E INDEPENDENCE ST, 306, GIDDINGS, TX 78942(720) 277-7404 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffrey Chonaworah Adisam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY CHONAWORAH ADISAM (NPI 1851831911) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Giddings, Texas and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1851831911

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameJEFFREY CHONAWORAH ADISAM

Location Address1087 E INDEPENDENCE ST, 306Giddings, TX 78942-1434

Mailing Address1087 E Independence St, 306Giddings, TX 78942-1434 · (720) 277-7404

Phone(720) 277-7404

Sole ProprietorYes

Enumeration DateMarch 8, 2017

✔ NPI 1851831911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1087 E INDEPENDENCE ST, Giddings, TX 78942

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Adisam's NPI number?

The NPI number for Jeffrey Adisam is 1851831911. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Jeffrey Adisam located?

Jeffrey Adisam practices at 1087 E Independence St 306, Giddings, TX 78942. The listed phone number is (720) 277-7404.

What is Jeffrey Adisam's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Adisam was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.