Healthcare Provider Details

I. General information

NPI: 1578877767
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: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2630A HARDEE CV
SUMTER SC
29150-1893
US

IV. Provider business mailing address

801 WARRENVILLE RD STE 800
LISLE IL
60532-0912
US

V. Phone/Fax

Practice location:
  • Phone: 800-815-6331
  • Fax: 803-905-7719
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