MEDICARE: ADDUS HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	AR4955	AR
2	253Z00000X	In Home Supportive Care Agency	AR4955	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528402518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADDUS HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	801 WARRENVILLE RD STE 800
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-0912
Country	:	US
Telephone Number	:	360-296-3400
Fax Number	:	630-487-2713

Provider Business Practice Location Address
First Line	:	1311 FORT ST STE 0
Second Line	:
City	:	BARLING
State	:	AR
Zip	:	72923-2045
Country	:	US
Telephone Number	:	479-452-2652
Fax Number	:	479-452-2084

Authorized Official
Title or Position	:	EVP, CHIEF STRATEGY OFFICER
Name	:	MR. DARBY ANDERSON
Credential	:
Telephone Number	:	630-296-3443

Provider Enumeration Date	:	04/22/2013
Last Update Date	:	04/30/2025

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Directions to “ADDUS HEALTHCARE, INC. ” Practice Location

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