MEDICARE: ADUS 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	253Z00000X	In Home Supportive Care Agency	140218338	AL

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

General Provider Information

NPI Number	:	1285036723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADUS HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	2300 WARRENVILLE RD STE 100
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1765
Country	:	US
Telephone Number	:	630-296-3400
Fax Number	:	630-487-2713

Provider Business Practice Location Address
First Line	:	1037 22ND ST S STE 101
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-2831
Country	:	US
Telephone Number	:	205-940-8500
Fax Number	:	205-940-8555

Authorized Official
Title or Position	:	NATIONAL CONTRACTS
Name	:	MS. DIANE KUMRICH
Credential	:	RN,MS,MBA
Telephone Number	:	630-296-3400

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	09/16/2014

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Directions to “ADUS HEALTHCARE, INC. ” Practice Location

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