Organization
ADDUS HEALTHCARE, 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
201 S 20TH ST, SUITE 11, ROGERS, AR 72758-1104
(479) 877-3300
(877) 224-7103
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
251E00000X
Home Health Agency
AR4954
AR
253Z00000X
In Home Supportive Care Agency
Primary
AR4954
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197338796
—
AR
05
—
197340797
—
AR
05
—
197341757
—
AR
05
—
197342752
—
AR
05
—
200411732 MAPC
—
AR
Enumeration date
04/22/2013
Last updated
11/10/2016
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