Organization
ADDUS HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE KUMARICH RN, MS, MBA (NATIONAL CONTRACTS)
(847) 303-5300
Entity
Organization
Contact information
Practice address
2375 CHICAGO AVE, RIVERSIDE, CA 92507-6902
(951) 774-3023
(951) 774-3027
Mailing address
2401 S PLUM GROVE RD, PALATINE, IL 60067
(847) 303-5300
(847) 303-5376
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
250000769
CA
251F00000X
Home Infusion Agency
25000769
CA
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
25000769
CA
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08095F
—
CA
Enumeration date
04/22/2006
Last updated
01/16/2013
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