Organization
ADDUS HEALTHCARE INC
Active
Other names
Desert PCA
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
6128 W SAHARA AVE, ROOM A, LAS VEGAS, NV 89146-3051
(702) 359-3105
(702) 598-2041
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
5427PCS8
NV
311ZA0620X
Adult Care Home Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505778
—
NV
Enumeration date
04/10/2006
Last updated
11/29/2016
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