Organization
ADDUS HEALTHCARE (IDAHO), INC
Active
Parent organization
ADDUS HEALTH CARE INC
Other names
Addus HomeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDUS HEALTH CARE INC
Authorized official
DARBY ANDERSON (EVP, CHIEF STRATEGY OFFICER)
(630) 296-3443
Entity
Organization
Contact information
Practice address
1037A 21ST ST, LEWISTON, ID 83501-3415
(208) 746-8881
(855) 808-6973
Mailing address
801 WARRENVILLE RD STE 800, LISLE, IL 60532-0912
(630) 296-3400
(630) 487-2713
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
806412200
LEWISTON - DDRN
ID
Enumeration date
05/01/2007
Last updated
04/30/2025
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