Healthcare Provider Details

I. General information

NPI: 1942263496
Provider Name (Legal Business Name): ADDUS HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20280 GOVERNORS HIGHWAY STE 301
OLYMPIA FIELDS IL
60461
US

IV. Provider business mailing address

2401 S PLUM GROVE RD
PALATINE IL
60067
US

V. Phone/Fax

Practice location:
  • Phone: 708-283-4240
  • Fax: 708-283-4241
Mailing address:
  • Phone: 847-303-5300
  • Fax: 847-303-5376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1645110
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANE KUMARICH
Title or Position: NATIONAL CONTRACTS
Credential: RN, MS, MBA
Phone: 847-303-5300