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NPI Code Detail

MEDICARE: ADDUS HEALTHCARE INC

MEDICARE: ADDUS 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
1311ZA0620XAdult Care Home Facility
2253Z00000XIn Home Supportive Care Agency5427PCS8NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366405227
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDUS HEALTHCARE INC
Provider Business Mailing Address
First Line : 2300 WARRENVILLE RD
Second Line : SUITE 100
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 : 6128 W SAHARA AVE
Second Line : ROOM A
City : LAS VEGAS
State : NV
Zip : 89146-3051
Country : US
Telephone Number : 702-359-3105
Fax Number : 702-598-2041
Authorized Official
Title or Position : NATIONAL CONTRACTS
Name : MS. DIANE KUMARICH
Credential : RN, MS, MBA
Telephone Number : 630-296-3400
Provider Enumeration Date : 04/10/2006
Last Update Date : 11/29/2016

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Directions to “ADDUS HEALTHCARE INC ” Practice Location

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