Healthcare Provider Details

I. General information

NPI: 1497903108
Provider Name (Legal Business Name): ADDUS HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2008
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 GLYNBROOK ST N SUITE 100
KEIZER OR
97303-5989
US

IV. Provider business mailing address

801 WARRENVILLE RD STE 800
LISLE IL
60532-0912
US

V. Phone/Fax

Practice location:
  • Phone: 503-364-6443
  • Fax: 855-893-0654
Mailing address:
  • Phone: 630-296-3400
  • Fax: 630-487-2713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number152028
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. DARBY ANDERSON
Title or Position: EVP, CHIEF STRATEGY OFFICER
Credential:
Phone: 630-296-3443