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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1730115130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADDUS HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	801 WARRENVILLE RD STE 800
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-0912
Country	:	US
Telephone Number	:	302-963-4006
Fax Number	:	630-487-2713

Provider Business Practice Location Address
First Line	:	10800 FINANCIAL CENTRE PKWY STE 330
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-3544
Country	:	US
Telephone Number	:	501-508-8158
Fax Number	:

Authorized Official
Title or Position	:	EVP CGRO
Name	:	DARBY ANDERSON
Credential	:
Telephone Number	:	630-296-3400

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	04/30/2025

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