Healthcare Provider Details

I. General information

NPI: 1841504032
Provider Name (Legal Business Name): ADDUS HEALTHCARE (SOUTH CAROLINA), INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2010
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 INDIA HOOK RD
ROCK HILL SC
29732-1218
US

IV. Provider business mailing address

2300 WARRENVILLE RD STE 100
DOWNERS GROVE IL
60515-1717
US

V. Phone/Fax

Practice location:
  • Phone: 800-579-6331
  • Fax: 803-980-4365
Mailing address:
  • Phone: 630-296-3400
  • Fax: 630-487-2713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

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