NPIMap

Organization Active NPI

Addus Healthcare (North Carolina), Inc

  • Home Health Agency
  • Washington, NC
National Provider Identifier
1194980243
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1503 Issued in NC
Legal business name
ADDUS HEALTHCARE (NORTH CAROLINA), INC
Practice address
124 S Market St
Washington, NC 27889-4952
Phone
(252) 948-0599
Fax
(252) 948-0922
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Ms. Diane Kumarich, RN, MS, MBA
Title
National Contracts
Phone
(847) 303-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1503 NC Primary

Addresses

Primary practice location

124 S Market St
Washington, NC 27889-4952

Mailing address

2401 S Plum Grove Rd
Palatine, IL 60067-7486
Phone (847) 303-5300

Other names 1

  • Down East HealthCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Addus Healthcare North Carolina Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1194980243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677486",
            "telephone_number": "847-303-5300",
            "fax_number": "847-303-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MARKET ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894952",
            "telephone_number": "252-948-0599",
            "fax_number": "252-948-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDUS HEALTHCARE (NORTH CAROLINA), INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "KUMARICH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "NATIONAL CONTRACTS",
        "authorized_official_telephone_number": "847-303-5300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Down East HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.