NPIMap

Organization Active NPI

Addus Healthcare, Inc.

  • In Home Supportive Care Agency
  • Little Rock, AR
National Provider Identifier
1235573221
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
AR4953 Issued in AR
Legal business name
ADDUS HEALTHCARE, INC.
Practice address
9712 Interstate 30 Ste 2
Little Rock, AR 72209-3300
Phone
(501) 565-1679
Fax
(501) 565-1382
NPI assigned
Apr 22, 2013
Organization subpart
Yes
Parent organization
ADDUS HOMECARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4953 AR
In Home Supportive Care Agency 253Z00000X AR4953 AR Primary

Addresses

Primary practice location

9712 Interstate 30 Ste 2
Little Rock, AR 72209-3300

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
197321796MedicaidAR
137742732MedicaidAR
197319797MedicaidAR
197323757MedicaidAR
200407732 MAPCMedicaidAR
197304752MedicaidAR

Other names 1

  • Addus HomeCare Doing business as

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1235573221",
    "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",
            "fax_number": "630-487-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 INTERSTATE 30 STE 2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722093300",
            "telephone_number": "501-565-1679",
            "fax_number": "501-565-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDUS HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HOMECARE CORPORATION",
        "enumeration_date": "2013-04-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4953",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AR",
            "license": "AR4953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197321796",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137742732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197319797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197323757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200407732 MAPC",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197304752",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addus HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Addus HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.