# ADDUS HEALTHCARE (SOUTH CAROLINA), INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Addus HomeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336494798
- **Authorized official:** MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
- **Authorized official phone:** (630) 296-3400

## Contact information

- **Practice address:** 3300 HIGHLANDS PKWY SE, SUITE 140, SMYRNA, GA 30082-5131
- **Practice address phone:** (678) 287-7398
- **Practice address fax:** (855) 807-5843
- **Mailing address:** 2300 WARRENVILLE RD, SUITE 100, DOWNERS GROVE, IL 60515-1765
- **Mailing address phone:** (630) 296-3400
- **Mailing address fax:** (630) 487-2713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 044-R-1056 | GA | Yes |

## Other

- **Enumeration date:** 07/20/2012
- **Last updated:** 06/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000972419 | — | GA |
| 01 | — | 044-R-1056 | LICENSE NUMBER | GA |