Organization Active NPI

Addus Healthcare Inc

  • In Home Supportive Care Agency
  • Sumner, WA
National Provider Identifier
1114943750
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADDUS HEALTHCARE INC
Practice address
823 W Main St Ste 1
Sumner, WA 98390-1151
Phone
(253) 863-1834
Fax
(253) 863-1663
NPI assigned
Jul 15, 2006
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ADDUS HOMECARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darby Anderson
Title
Evp, Chief Strategy Officer
Phone
(630) 296-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

823 W Main St Ste 1
Sumner, WA 98390-1151

Mailing address

801 Warrenville Rd Ste 800
Lisle, IL 60532-0912
Phone (630) 296-3400

Other identifiers 1

IdentifierTypeStateIssuer
187837MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Addus Healthcare Inc81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

823 W Main St
Ste 1
Sumner, WA 98390
Phone (253) 863-1834

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1114943750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WARRENVILLE RD STE 800",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605320912",
            "telephone_number": "630-296-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W MAIN ST STE 1",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901151",
            "telephone_number": "253-863-1834",
            "fax_number": "253-863-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDUS HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HOMECARE CORPORATION",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DARBY",
        "authorized_official_title_or_position": "EVP, CHIEF STRATEGY OFFICER",
        "authorized_official_telephone_number": "630-296-3443"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187837",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.