Organization Name: | ADDUS HEALTHCARE, INC. |
NPI Number: | 1215230800 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE KUMARICH (NATIONAL CONTRACTS) |
Mailing Address: | 1524 W 9th St Mount Carmel |
State: | IL US |
Postal Code: | 628632909 |
Phone Number: | 6182634311 |
Fax Number: | 6182625117 |
NPI Enumeration Date: | 12/21/2010 |
NPI Last Update Date: | 05/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 1971335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |