Organization
ADDUS HEALTHCARE (IDAHO), INC
Active
Parent organization
ADDUS HEALTHCARE, INC.
Other names
Addus HomeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADDUS HEALTHCARE, INC.
Authorized official
DARBY ANDERSON (EVP STRATEGY OFFICER)
(630) 296-3591
Entity
Organization
Contact information
Practice address
1037A 21ST ST, LEWISTON, ID 83501-3415
(208) 746-8881
Mailing address
2300 WARRENVILLE RD STE 100, DOWNERS GROVE, IL 60515-1717
(630) 296-3591
(630) 487-2713
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
805787300
HAYDEN - PDN
ID
Enumeration date
05/01/2007
Last updated
01/29/2021
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