Organization
ADDUS HEALTHCARE (SOUTH CAROLINA), INC.
Active
Other names
Addus HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
(630) 296-3400
Entity
Organization
Contact information
Practice address
3300 HIGHLANDS PKWY SE, SUITE 140, SMYRNA, GA 30082-5131
(678) 287-7398
(855) 807-5843
Mailing address
2300 WARRENVILLE RD, SUITE 100, DOWNERS GROVE, IL 60515-1765
(630) 296-3400
(630) 487-2713
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
044-R-1056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972419
—
GA
01
—
044-R-1056
LICENSE NUMBER
GA
Enumeration date
07/20/2012
Last updated
06/17/2015
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