# ADDUS HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert PCA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366405227
- **Authorized official:** MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
- **Authorized official phone:** (630) 296-3400

## Contact information

- **Practice address:** 6128 W SAHARA AVE, ROOM A, LAS VEGAS, NV 89146-3051
- **Practice address phone:** (702) 359-3105
- **Practice address fax:** (702) 598-2041
- **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 | 5427PCS8 | NV | Yes |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 11/29/2016